Billing Specialist
hace 9 días
Stamford
Job Description 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. Requirements • 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., • 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