Job Details: Job Location: Denver, CO - Denver, CO, Salary Range: $20.00 - $23.00Hourly, We are seeking a detail-oriented and dependable Billing Specialist to join our team. This entry-level position supports the day-to-day billing operations by processing claims accurately and efficiently, maintaining billing information, and helping ensure claims are submitted in accordance with insurance payer requirements.
Duties & Responsibilities
Claims Processing:
Process 50–90+ claims daily with a focus on accuracy.
Review and verify billing codes (HCPCS), diagnostic information, and span dates for compliance.
Submit claims to insurance agencies, Medicare/Medicaid, and other payers.
Insurance Verification:
Conduct eligibility checks using systems like Brightree and Availity.
Ensure patient insurance information is up to date and communicate coverage details (deductibles, coinsurance) to relevant teams.
Dispute Resolution:
Handle disputes, appeals, and follow-up tasks for denied or pending claims.
Address phone inquiries related to billing issues.
Data Management:
Maintain accurate records of claims and patient billing information.
Update patient accounts and billing systems as needed.
Collaboration:
Work closely with the Customer Experience Team and management to resolve billing discrepancies.
Support office operations as needed (e.g., shipping confirmations, Sales Order reviews).
Qualifications: Qualifications
Education: High School Diploma
Experience: 0–2 years in a healthcare office or administrative setting.
Technical Skills: Proficiency in Microsoft Office and data entry.
Soft Skills: Strong communication, organizational skills, and teamwork.
Preferred Knowledge: Familiarity with Brightree, Availity, or similar billing software.
Claim Form: Knowledge of CMS 1500