Billing Specialist

We are looking for a detail-oriented, analytical Medical Billing Specialist to manage our end-to-end billing cycle. In this role, you will be responsible for submitting claims, monitoring account receivables, resolving billing discrepancies, and serving as a compassionate point of contact for patient billing inquiries. The ideal candidate brings a solid understanding of medical coding, payer guidelines, and healthcare compliance. Key Responsibilities Claims Processing: Review, generate, and submit electronic and paper claims to commercial insurance payers, Medicaid, and Medicare. Payment Posting & Reconciliation: Accurately post payments, adjustments, and write-offs to patient accounts from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs). Denial & Rejection Management: Investigate rejected or denied claims, prepare appeals, correct billing errors, and resubmit claims in a timely manner. Accounts Receivable (A/R) Follow-Up: Monitor aging reports and actively pursue outstanding balances from payers and patients. Patient Support: Address patient inquiries regarding statements, copays, deductibles, coverage benefits, and payment arrangements with professionalism and empathy. Compliance & Data Integrity: Maintain strict adherence to HIPAA regulations, patient privacy guidelines, and current billing regulations. Qualifications & Requirements Experience: 2+ years of medical billing, claims processing, or revenue cycle management (RCM) experience. Knowledge Base: Familiarity with ICD-10, CPT, and HCPCS coding systems, as well as payer-specific submission guidelines. Software Proficiency: Hands-on experience with Electronic Health Record (EHR) and Practice Management (PM) software (e.g., Athenahealth, Epic, Kareo, or AdvancedMD). Skills: Strong numerical aptitude, problem-solving skills, and clear verbal and written communication. Certifications (Preferred): Certified Professional Biller (CPB) or Certified Billing and Coding Specialist (CBCS) is a plus. Education: High school diploma or equivalent required; associate degree in healthcare administration or related field preferred. What We Offer Competitive base salary commensurate with experience. Comprehensive health, dental, and vision insurance. 401(k) plan starting January 2027 Generous paid time off (PTO) and paid holidays.

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About Violet Health At Violet Health, we are dedicated to providing accessible, high-quality, patient-centered care. We believe that behind every clinical interaction is a supportive administrative framework that ensures seamless operations, clear communication, and financial transparency for the patients and communities we serve. #J-18808-Ljbffr violet health: Infusion Care