Established billing department is looking for an experienced person to join our team! Full time or part time positions available. Position has the possibility of hybrid remote work schedule once traingin completed. If the job description below sounds like a fit, please submit your resume!

Job Title: Billing Specialist

Salary Range: $17 - $23

Billing Specialist Summary:

The Billing Specialist position requires the individual to collect and enter insurance claim information, post insurance & patient’s payments, and manage accounts. You are responsible for submitting claims and following up with insurance carriers on unpaid or rejected claims. Answering patient inquiries on account statuses and/or charges are essential to this position. Other job duties may be assigned by your supervisor.

Knowledge, Skills, & Abilities:

· Enter information necessary for insurance claims such as patient, insurance ID, diagnosis, treatment codes and modifiers, and provider information. Ensure claim information is complete and accurate.

· Submit insurance claims to clearinghouse or individual insurance companies electronically or via paper on the CMS-1500 form.

· Answer patient questions on patient responsible portions, copays, deductibles, write-off’s, etc. Resolve patient complaints or explain why certain services are not covered.

· Follow up with insurance company on unpaid or rejected claims. Resolve issues and resubmit claims.

· Prepare appeal letters to insurance carriers when not in agreement with claim denials. Collect necessary information to accompany appeal.

· Prepare patient statements for charges not covered by insurance. Ensure statements are mailed on a regular basis.

· Working with patients to establish a payment plan for past due accounts in accordance with provider policies may be required.

· Provide necessary information to collection agencies for delinquent or past due accounts.

· Post insurance and patient payments using NextGen software.

· Perform “soft” collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.

· For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer.

· Follow HIPAA guidelines in handling patient information.

· May periodically create insurance or patient aging reports using Next Gen billing software. These reports are used to identify unpaid insurance claims or patient accounts.

· Understand managed care authorizations and limits to coverage such as the number of visits. This is encountered often when billing for specialties.

· Verifying patient benefits eligibility and coverage may be required.

· Ability to look up ICD 10 diagnosis and CPT treatment codes from online services or using traditional coding references.

· Other job duties that are assigned by the Supervisor

Requirements

· Knowledgeable on insurance and reimbursement process.

· Good math and data entry (typing) skills.

· Exercise good judgement and discretion.

· Familiarity with HIPAA privacy requirements for patient information.

· Maintain and protect confidential information.

· Proficient in use of computers and common office equipment.

· Good verbal and written communication skills.

· Basic understanding of medical ICD 10 codes and CPT medical billing codes.

· 1 year billing experience

· This position requires excellent attendance as there is minimal back up. All time off request should be submitted with a 2 week notice unless unforeseeable.

Employee Benefits

· 6 Paid Holidays

· Sick time

*PTO time

*Medical

*Dental

*Vision

*401k matching

*Uniform Allowance

Job Types: Full-time, Part-time

Pay: $18.00 - $23.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Work from home

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Colorado Springs, CO 80909: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical billing: 1 year (Required)

Work Location: Hybrid remote in Colorado Springs, CO 80909