Billing Specialist

Overview

Lone Peak Physical Therapy, a member of the Confluent Health family of physical therapy and occupational therapy companies, is looking for an experienced Billing Specialist to join our team!

If you have a strong background in medical billing, Accounts Receivable (AR), insurance claims, denials, and revenue cycle management, we'd love to have you join our supportive, employee-focused culture where you can grow and flourish.

What we offer:

• Health, Dental, and Vision Insurance
• Paid Time Off
• Family Building and Parental Leave Benefits
• 401(k) with employer matching up to 4%
• Structured onboarding with a 30/60/90-day development plan and ongoing support from clinic leadership
• Clear growth pathways; many of our front desk team members have advanced into clinic management, operations, and leadership roles
• A collaborative team culture where no one is left on an island; you'll have access to leadership and a built-in buddy system across clinic locations

Responsibilities

As a Billing Specialist, you will be responsible for managing key components of the medical billing and revenue cycle process, with a strong focus on Accounts Receivable (AR), insurance claims, denials, payer follow-up, and timely collections.

• Manage patient accounts throughout the medical billing and revenue cycle process, from account creation through claim submission and patient statements.
• Follow up on denied, unpaid, and underpaid claims; research issues and resubmit or appeal claims as appropriate.
• Monitor and work AR aging reports to ensure timely collections and reduce outstanding balances.
• Communicate with insurance payers regarding claims, reimbursement, billing requirements, and account issues.
• Verify insurance benefits and eligibility using payer portals and ensure information is accurate.
• Communicate professionally with patients regarding balances, billing questions, and payment plans.
• Collaborate with clinic staff, clinical teams, and referral sources to resolve billing and insurance issues.
• Maintain knowledge of ICD-10, CPT, HCPCS, payer requirements, and HIPAA regulations.
• Complete daily billing and AR tasks accurately and within established deadlines while maintaining patient confidentiality.

Qualifications

• High school diploma or GED required.
• Experience with the following is required:
  
  • Medical coding
  • Insurance claim submission
  • Accounts receivable (A/R) and aging reports
  • Denial management and resolution
  • Insurance appeals processes
  • Prior authorization requests
  • Communicating with insurance companies and patients regarding billing, claims, and reimbursement issues

About

Compensation: ~$22-23/HR

Confluent Health, LLC and its affiliates are equal opportunity employers committed to building a diverse and inclusive workforce. We do not discriminate based on race, color, religion, sex, sexual orientation, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, national origin, marital status, age, disability, veteran status, or other applicable legally protected characteristics. If you need assistance or would like to request an accommodation due to a disability, please contact us at View email address on click.appcast.io.