What are the responsibilities and job description for the Billing Specialist position at Performance Optimal Health?
Join Performance Optimal Health, a leading wellness organization that takes a holistic approach to health through the Four Pillars of Optimal Health – Exercise, Nutrition, Recovery, and Stress Management. We empower clients to live better lives through exceptional care, service, and teamwork.
We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This role combines all aspects of billing, insurance verification, authorizations, and accounts receivable follow-up. The ideal candidate is detail-oriented, organized, and thrives in a collaborative environment.
Responsibilities
- Review and process patient claims and invoices accurately and in a timely manner.
- Verify insurance eligibility and benefits; obtain and track authorizations/pre-certifications as required by payers.
- Resolve billing issues, denials, and underpayments by following up with insurance companies, patients, and internal staff.
- Prepare and send appeals when claims are denied or underpaid.
- Maintain complete and accurate patient records, including demographic, insurance, and authorization information.
- Post payments and adjustments; monitor accounts receivable and ensure balances are collected efficiently.
- Communicate coverage details, patient responsibilities, and financial agreements clearly with patients.
- Protect patient confidentiality and comply with HIPAA regulations.
- Collaborate with the billing, clinical, and front desk teams to ensure seamless revenue cycle operations.
- Attend training sessions, webinars, and team meetings as required.
- Must be able to work full-time hours onsite at our Stamford, CT location.
- High school diploma or equivalent (Associate degree preferred).
- 2 years of experience in medical billing, AR, or insurance verification.
- Working knowledge of CPT, ICD-10, and HCPCS codes and insurance reimbursement processes.
- Proficiency in billing software, EMR systems, and Microsoft Office (Excel required); Prompt EMR experience is a plus.
- Strong communication, organizational, and analytical skills.
- Ability to handle confidential information with professionalism and integrity.
- High attention to detail and accuracy in data entry and documentation.
- Competitive pay based on experience
- Medical, Dental, and Vision Insurance
- 401K with company match
- Access to all Performance Optimal Health facilities
- Internal and external discounts
- Mentorship and growth potential within the organization
- Fun, collaborative atmosphere