Billing Operations Specialist

Billing Operations Specialist

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

Nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

We are currently seeking a Billing Operations Specialist with a great work ethic to manage and execute the daily billing activities of the department. Under the direction of the Billing Manager, this role will be instrumental in ensuring timely claim submission, following up with payers, and handling billing discrepancies. The ideal candidate will have exceptional communication and organizational skills along with a strong attention to detail. We are looking for candidates who have experience working in a medical environment with great customer service skills and motivation to learn.

The Billing Operations Specialist is responsible for managing and executing the day-to-day billing activities to ensure accurate invoicing (patient invoicing) and follow up with clients and patients. This role works closely with internal departments and external stakeholders to resolve billing discrepancies, optimize revenue capture, and maintain compliance with relevant regulations and payer requirements.

Key Responsibilities:

• Post write-offs in the billing system as appropriate
• Collaborate with coding, collections, and accounts receivable teams to support seamless revenue cycle processes
• Respond to billing inquiries from clients, patients, or insurance companies in a timely and professional manner
• Assist in the implementation of new billing processes, systems, or software upgrades
• Submit invoices to patients
• Manage patient outstanding balances
• Generate and mail patient statements
• Set up patient payment plans
• Maintain accurate patient demographic and insurance information

Requirements:

Education & Experience:

• High school diploma or equivalent
• 2+ years of experience in medical or corporate billing, revenue cycle, or accounts receivable roles
• Familiarity with insurance billing guidelines, CPT/ICD-10 codes, and electronic health record (EHR)/practice management systems (e.g., Epic, Athena, Cerner)

Skills & Competencies:

• Strong analytical and problem-solving abilities
• Proficient in Microsoft Office Suite (Excel, Outlook, Word
• Excellent attention to detail and organizational skills
• Strong written and verbal communication
• Ability to multitask and work independently in a fast-paced environment
• Knowledge of HIPAA and regulatory billing requirements