Billing Specialist

Job Summary We are seeking a detail-oriented and proactive Billing Specialist to join our healthcare team. In this vital role, you will manage the entire billing process, ensuring accurate and timely submission of claims, effective follow-up on unpaid accounts, and seamless communication with insurance providers and patients. Your expertise will help optimize revenue cycles while maintaining compliance with industry standards. If you thrive in a fast-paced environment and possess a passion for accuracy and efficiency, this opportunity is perfect for you to make a meaningful impact! Key Responsibilities Performs follow up on all outstanding accounts assigned in accordance with established standards and procedures. Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status Determines reason for denial and appeals accounts as necessary including phone calls to insurance companies. Review and edit any rejections stemming from electronic billing submissions and corrects and resubmits claims. Verifies accuracy of patient insurance and demographic information. Generates bills to patients for services not covered by insurance and follow through for payment. Investigates over-payments and takes appropriate action to resolve. Initiates refund requests in accordance with departmental procedures. Responds to requests for information and telephone inquiries from patients, insurance carriers, and outside agencies in a courteous manner. Send secondary claims to appropriate payors. Qualifications Previous bookkeeping or medical billing experience preferred. Familiarity with the Jane App or similar practice management systems is a plus. Strong attention to detail and high accuracy in data entry. Ability to work independently, manage deadlines, and communicate clearly with internal teams and external payers. Proficiency in spreadsheets (Google Sheets or Excel). Work Environment & Schedule Part-time day time hours required, with full-time options as the position requires Remote Compensation: $20 / per hour Pay: $20.00 per hour Work Location: Remote