What are the responsibilities and job description for the Billing and Coding Specialist position at CaringEdge?
We are looking for a detail-oriented Billing & Coding Specialist to join our growing team. This position plays a key role in supporting accurate revenue cycle processes and ensuring timely reimbursement for healthcare & therapy services.
You would be responsible for accurate claim submission, coding review, payment posting, denial follow-up, and insurance communication related to services provided. This role works closely with clinical teams, front office staff, and leadership to ensure clean claims and strong financial performance.
Responsibilities:
- Review documentation for billing accuracy and completeness
- Submit insurance claims in a timely manner
- Post payments and reconcile accounts
- Investigate and resolve denied or rejected claims
- Communicate with insurance companies regarding authorizations, eligibility, and claim status
- Work patient accounts including balances, adjustments, and follow-up
- Ensure compliance with payer requirements and coding guidelines
- Support productivity and revenue cycle reporting needs
- Collaborate with clinic teams to improve billing workflows
What you will need:
- Experience in medical billing and/or coding
- Knowledge of CPT & ICD-10, as well as healthcare and therapy billing processes
- Outpatient therapy, home health, and/or hospice experience, preferred
- Strong attention to detail and organizational skills
- Ability to manage multiple priorities and meet deadlines
- Excellent communication and teamwork skills
What we offer:
- Health, vision, dental, HSAs, & FSAs
- 401(k) plan with employer contribution
- Paid time off that begins accruing on day one
- Hybrid work model
Offers of employment are contingent upon passing a background check and drug screen