Billing Specialist
hace 3 días
Houston
Job Description OVERVIEW: At Lymphedema Therapy Specialists, Inc. (LTS), we believe our work is more than just a job, it’s a calling. Our mission is rooted in a deep commitment to serve our patients and one another with compassion, integrity, and excellence. Everything we do is guided by faith, love, and unity — values that shape our culture and define how we care for others. We are a team driven by generosity offering our time, talents, and resources wholeheartedly to meet the needs of our patients and community. Excellence matters to us, not only in our clinical care but in every interaction and task, big or small. We listen with empathy, communicate with kindness, and strive to heal lives physically, emotionally, and spiritually. At LTS, every individual is seen, valued, and empowered. We believe in investing in our people, encouraging both personal and professional growth as each team member steps more fully into their God-given purpose. We honor the unique contributions of our staff, recognizing their work as a blessing to those we serve. Joining LTS means becoming part of a mission-driven team united by faith and purpose. If you’re seeking a role where your work has meaning and your gifts can truly make a difference, you’ll find a home here. Welcome to a place where healing happens for our patients, our team, and our community. We encourage you to visit our website at before applying to learn more about our company, culture, and mission. JOB SUMMARY: At Lymphedema Therapy Specialists, Inc. (LTS), the Billing Specialist plays an essential and mission-aligned role in supporting our commitment to serve patients and one another with excellence, compassion, and integrity. This position is vital to the financial health of our organization and helps ensure that our services remain accessible to those in need of healing and hope. The Billing Specialist is responsible for managing the medical billing process by ensuring accurate claim submission, monitoring outstanding balances, and performing timely follow-up to resolve any billing issues. This role ensures claims are processed correctly and efficiently to support optimal reimbursement. This role requires professionalism, critical thinking, and a service-minded approach when engaging in often sensitive financial conversations with patients and insurance providers. Above all, the Billing Specialist must embody a servant mindset — someone who reflects our core values of love, unity, generosity, and excellence in every interaction. In addition to core billing responsibilities, the Billing Specialist is responsible for appealing and resolving denied claims, addressing billing discrepancies, and confidently navigating EHR/EMR systems and provider portals. This role collaborates closely with administrative staff, collections team, and leadership to identify and address barriers to reimbursement, contributing to process improvements that enhance both the patient experience and the organization’s financial performance. The ideal candidate will demonstrate exceptional attention to detail, strong interpersonal skills, a heart for serving patients with empathy and respect, and a clear understanding of how their role fits into the broader mission. If you’re passionate about helping others by stewarding financial processes with integrity and grace, this position offers a unique opportunity to contribute to a purpose-driven team that restores hope and healing every day. JOB DUTIES AND RESPONSIBILITIES: • Accurately review, prepare, and submit insurance claims, ensuring compliance with payer guidelines and timely processing., • If asked, monitor and follow up on outstanding claims using phone, payer portals, and written correspondence to resolve unpaid, delayed, or denied claims., • Interpret Explanations of Benefits (EOBs), remittance advice, and denial codes to determine next steps for resolution., • If asked, prepare and submit appeals or corrected claims, including necessary documentation and coding adjustments., • Track claim status and maintain up-to-date, accurate documentation within EHR/EMR systems and billing software., • When necessary, communicate professionally with patients regarding outstanding balances and respond to billing-related inquiries with clarity and empathy., • If asked, establish and manage patient payment plans in accordance with office policies and financial assistance guidelines., • When necessary, respond to questions related to insurance coverage, claim status, and account activity, providing clear and timely support., • Maintain HIPAA compliance and ensure all billing-related communication protects patient privacy., • Collaborate with front office, billing staff, and leadership to resolve billing discrepancies, coding issues, and payment posting errors., • Identify and report trends in denials, underpayments, or processing delays that impact reimbursement and workflow efficiency., • Assist with month-end closing tasks, including reconciling accounts receivable and preparing aging and collection reports., • Perform account audits to ensure billing accuracy and timely resolution of patient balances., • Stay informed of current payer policies, CPT/ICD-10 coding standards, and reimbursement regulations., • Ensure compliance with federal, state, and payer regulations, including HIPAA, FDCPA, and CMS guidelines., • Document all billing activities, correspondence, and collection efforts thoroughly within billing systems., • Participate in regular team meetings, training sessions, and strategy planning within the Revenue Cycle Department., • Share insights and best practices with colleagues to improve department efficiency and outcomes., • Contribute to a team culture centered around problem-solving, integrity, and a shared mission to support patient care through effective revenue stewardship., • Demonstrate alignment with the spiritual mission of LTS by modeling compassion, service, humility, and excellence in every interaction. Education & Licensure: • High School Diploma or equivalent., • 10+ years of experience in medical billing or a similar role within a healthcare billing or revenue cycle environment strongly preferred., • Proven experience using Electronic Health Records (EHR) and Practice Management software required; ability to navigate systems efficiently and accurately is essential., • Background in insurance verification and billing processes is highly preferred, including familiarity with payer policies, coverage requirements, and claims workflows., • Strong verbal and written communication skills; able to interact professionally with patients, families, payers, and healthcare team members., • Highly organized with exceptional attention to detail and accuracy in managing patient accounts and documentation., • Proven ability to prioritize tasks, manage multiple responsibilities, and meet deadlines in a high-volume, fast-paced environment., • Solid understanding of HIPAA and other relevant healthcare regulations; committed to maintaining confidentiality and ethical standards., • Works well in a team-oriented environment; collaborates effectively with peers and leadership to achieve department goals., • Flexible and responsive to changing priorities; maintains composure and professionalism under pressure., • Prolonged periods of sitting at a desk and working on a computer (typically 6–8 hours per day)., • Frequent use of hands and fingers for data entry, typing, and handling paperwork., • Visual acuity required to read and interpret printed and electronic documents, insurance forms, and billing codes., • Hearing ability to effectively communicate via phone and in person with patients, team members, and insurance representatives., • Occasional reaching, bending, or lifting of lightweight office supplies, files, or equipment (typically up to 10–15 lbs)., • Manual dexterity to operate office equipment such as computers, printers, copiers, phones, and calculators., • Ability to maintain focus and attention to detail for extended periods, especially when reviewing patient, financial, and billing records. Technology & Administrative Tools: • Electronic Health Record (EHR) systems (e.g., AdvancedMD), • Practice Management Systems (PMS) for billing and scheduling, • Insurance Payer Portals for claim submissions, verifications, and appeals, • Clearinghouse platforms (e.g., Availity, Waystar) for claim submissions and remittance tracking, • Desktop and laptop computers, tablets, • This is an hourly, non-exempt position and is eligible for overtime pay., • Compensation is competitive and commensurate with experience, credentials, and qualifications., • Competitive salary, • Health, dental, and vision insurance, • 401(k) with company match, • Paid time off (vacation, sick leave, and holidays), • Professional development and training support
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