Billing Specialist
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Job Description
Remote Billing Specialist processing patient claims for Pyramid Healthcare, a behavioral healthcare provider. Resolving denials, coordinating with insurers, and supporting timely reimbursement.
Responsibilities:
- Accurately prepare, review, and submit patient billing claims
- Review patient bills for accuracy and completeness and obtain missing information
- Process electronic and paper claims using billing software
- Identify, correct, and resubmit claims affected by payer edits or denials
- Identify and bill secondary and tertiary insurance carriers
- Follow up on outstanding claims to support timely payment and reimbursement
- Communicate with insurance companies, internal departments, and clinical staff regarding billing inquiries
- Maintain accurate billing documentation according to company, payer, and regulatory standards
- Identify billing issues and obtain or communicate information needed for claim resolution
- Prioritize work to meet deadlines and productivity expectations
- Deliver customer service to patients, staff, and insurance representatives
- Maintain confidentiality of company, patient, insurance, billing, and financial information
- Complete required training and perform other assigned duties
Requirements:
- High School Diploma or equivalent required
- Minimum of two (2) years of experience in medical billing required
- Strong attention to detail and accuracy in data entry and mathematics
- Ability to prioritize tasks and meet deadlines in a fast-paced environment
- Ability to communicate effectively with clinical staff, insurance representatives, patients, and other internal and external stakeholders
- Working knowledge of medical billing processes and payer requirements
- Ability to problem-solve and follow up on outstanding issues
- Ability to accurately review and process billing and claim information
- Ability to identify claim errors, missing information, payer edits, and denials and take appropriate action to support resolution
- Ability to manage multiple claims, follow-up activities, and competing priorities while maintaining accuracy and productivity
- Ability to learn and effectively utilize billing software, electronic systems, and other technology required for the position
- Ability to maintain confidentiality and appropriately handle sensitive patient and financial information
- Strong organizational and time-management skills
- Completion of all required trainings as designated by the company and accreditation/licensing entities
Benefits:
- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Life Insurance
- Paid Time Off
- 401(k) with Company Match
- Tuition Reimbursement
- Employee Recognition Programs
- Referral Bonus opportunities
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