What are the responsibilities and job description for the Billing Specialist position at AllerVie Health?
AllerVie Health exists to change that. Our mission is simple but powerful: help patients achieve and maintain better health - free from the symptoms and suffering that hold them back. Through comprehensive, personalized care, we support patients at every stage of their journey, delivering real relief and measurable improvements in how they live day to day.
As a growing healthcare organization, we’re expanding access to specialized allergy and immunology care across communities - and building teams that make that impact possible. Whether you’re in a clinical, operational, or corporate role, your work directly supports patients getting their lives, energy, and confidence back. If you’re motivated by meaningful work and want to be part of a mission you can feel, we’d love to meet you.
Job Summary:
AllerVie Health is seeking a detail-oriented and driven Billing Specialist to support our Revenue Cycle Management (RCM) operations. This role is responsible for ensuring accurate claim submission, timely reimbursement, and effective resolution of billing issues across multiple payers. The ideal candidate thrives in a fast-paced environment, has strong analytical skills, and is committed to delivering high-quality work while maintaining compliance with healthcare regulations.
Key Responsibilities:
- Perform assigned RCM activities in accordance with best practices and internal SOPs
- Prepare and submit claims (electronic, paper, or portal-based) according to payer requirements
- Ensure accurate charge entry, claim submission, and payment posting
- Monitor accounts receivable aging and follow up on unpaid or underpaid claims
- Identify and resolve claim rejections and denials, including submitting appeals when appropriate
- Work directly with payers to resolve outstanding claims and discrepancies
- Monitor and process credit balances and refunds in a timely, compliant manner
- Verify insurance coverage and benefits using payer portals or direct communication
- Accurately enter and update insurance information in the practice management system
- Confirm eligibility, plan limitations, and coordination of benefits
- Submit and track pre-authorizations and pre-determinations with required documentation
- Respond to billing and insurance inquiries from patients and clinic staff professionally and promptly
- Assist with patient statements and follow up on outstanding balances
- Communicate clearly with patients, including seniors and families, regarding balances and payment plans
- Analyze denied and rejected claims to identify root causes and trends
- Generate and review reports on collections, denial rates, and revenue performance
- Identify revenue cycle improvement opportunities and communicate findings to leadership
- Collaborate with clinical and operations teams to ensure accurate documentation for billing
- Maintain strict adherence to HIPAA, CMS guidelines, and all applicable regulations
- Stay current on payer policies, coding updates, and industry best practices
- Document all billing activities, insurance verifications, and patient interactions thoroughly
Qualifications, Education, and Experience:
- High school diploma or equivalent; Associate’s degree or billing certification preferred.
- 1–3 years of experience in healthcare billing or revenue cycle roles.
- Familiarity with insurance claim processing, CPT/ICD-10 coding, and payer guidelines.
- Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR).
- Experience with allergy or specialty clinic billing processes.
- Knowledge of scheduling, registration, insurance verification, claims submission, and A/R follow-up
- Understanding of payer reimbursement and compliance requirements
- Experience with practice management systems, clearinghouses, and insurance portals
- Strong computer skills, including Microsoft Office (Excel proficiency required)
- Excellent math, data entry, and problem-solving skills
- Ability to work both independently and within a team environment
- Effective written and verbal communication skills
- Experience with Intergy EMR a plus.
- Bilingual communication skills a plus.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 10 pounds at times.
When you join AllerVie Health, you become part of a purpose-driven team dedicated to transforming lives through compassionate allergy care. We recognize and value the experience, perspective, and commitment you bring to our mission. In return, we offer competitive compensation and comprehensive benefits that empower you to thrive. This support enables you to give your best to the patients who count on us every day.
Benefits:
- Medical, Dental, and Vision Insurance Plans
- Employer HSA contribution
- Employer-Paid Life Insurance
- Supplemental benefit offerings
- 401(k) Plan with employer match
- Generous PTO and paid holidays
AllerVie Health is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.