We are seeking an efficient Billing Specialist with a strong focus on Accounts Receivable (A/R) to join our dynamic team.
Requirements
- Submit, resubmit, and correct insurance claims (primary focus on BCBS and other major commercial payers)
- Follow up on unpaid or denied claims, analyze denial reasons, and take corrective actions
- Post insurance payments and patient payments, reconcile accounts, and allocate credits appropriately
- Collaborate with clinicians to ensure accurate documentation and verify medical necessity or authorization when required
- Review and verify insurance benefits; communicate client coverage limits and out-of-pocket responsibilities clearly and empathetically
- Assist clients with billing questions, superbills, refunds, and updating payment methods
- Maintain accurate and detailed records of all billing activity, adjustments, and correspondence
- Assist with process improvements and policy implementation in collaboration with the Billing Department
- Ensure compliance with HIPAA and confidentiality standards at all times
Benefits
- 401k Safe Harbor plan
- Dental Insurance
- Health Insurance
- Unlimited vacation policy
- Work-from-home
- Yearly employee engagement trips to NYC
