Billing Specialist

Beyond CompetitivePeople Purpose: Beyond Competitive It is no longer ok to just be competitive regarding how we treat our people in everything we do. Our leadership team believes wholeheartedly we need to be beyond competitive and cultivate a culture of proud, driven employees who are passionate about the work they do and where they do it. Our leadership strives to unleash unsurpassed potential in every team and individual employed and owns making that happen. Sincere, Simple, Smart. What makes us Beyond Competitive:6 weeks' time off annuallyIncentive planFlexible hybrid/remote work optionsFull pay maternity, paternity, parental, short-term disability leavesEmployee driven recognition programAccess to hundreds of training opportunitiesCompany paid educational assistanceWell-being on demandPerks at WorkCompetitive health and welfare plans -HSA company contribution401(k) company matchGreat culture and people!The OpportunityThe Billing Specialist submits patient bills to the appropriate payers and follows up efficiently on open accounts in a timely and accurate manner. This role also ensures timely claim submission and follow - up, reconciles claims, and resolves issues to support appropriate adjudication. The Billing Specialist responds knowledgeably to a wide range of complex denial issues when working with insurance companies.Job Outcomes You Must Get:Follow Electromed mission and core values, while striving to achieve company goalsUnderstand and adhere to local State and Federal healthcare regulatory and compliance rulesReview billing files for appropriate modifiers, diagnosis codes, patient demographic information and insurance prior to submissionUtilize multiple electronic billing, medical retrieval systems, and payer websites to resolve insurance denials and patient issuesCommunicate effectively with internal customers, including Reimbursement and Accounting DepartmentsEnsure claims are processed and followed up in a timely manner to meet accounts receivables aging and cash receipt goalsReview patient statements to ensure accuracyComplete payment reconciliation according to contracted payer fee schedulesWork to achieve monthly team goalsEducate patients on complex billing situationsAccurately record information to internal systemsComplete other miscellaneous tasks as needed to help support the reimbursement teamJob Outcomes RequirementsTwo years post-secondary education or equivalent work experienceExperience with insurance billing/reimbursement, Durable Medical Equipment (DME) preferredExperience with third - party and government payersProficiency in Microsoft Office programs: Outlook, Excel, WordExperience with insurance claim softwareExperience with professional claim submission preferredHigh attention to detail and accuracy with the ability to handle multiple prioritiesSelf-starter, motivatedAbility to follow through professionally when working with various payersAbility to work independently and as a contributing team memberKnowledge of insurance requirements and ability to evaluate medical justification to support appropriate reimbursementExcellent written and verbal communication skillsDemonstrated exceptional customer service skillsAbility to prioritize and organizeStrong analytical and problem-solving skillsThe compensation range for this position is $22.00 to $30.00 hourly with the final agreed upon rate to be based on individual experience, skills, and qualifications. Additional benefits include performance-based incentives, comprehensive health benefits, retirement savings options, paid time off, and opportunities for professional growth and development. Benefits eligibility and offerings may vary based on role and location.Be You.Our people celebrate diverse individuals, backgrounds, and thinking. As an equal opportunity employer this is the absolute most important belief in cultivating our culture and growth together.Core Values Customer-Focused. Integrity. Resourceful. Collaborative. Results-Driven.Electromed develops, manufactures, and markets innovative airway clearance devices that help people around the world breathe better, stay healthier, and lead active and fulfilling lives.Making Life's important moments possible-one breath at a time.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.