Billing Specialist

Billing Specialist - Full Time

Are you E.P.I.C?! Join a team that's dedicated to making a difference in healthcare delivering seamless, reliable service to our clients, colleagues, and community.

Bring your precision, problem-solving skills, and commitment to excellence to a role that keeps our financial engine running smoothly. As a Billing Specialist - Full Time, you'll play a key role in ensuring accurate and timely billing operations across the organization. Your attention to detail and understanding of billing procedures will help guarantee that claims and invoices are processed efficiently and correctly.

You'll collaborate across departments to research and resolve billing discrepancies, streamline processes, and strengthen billing accuracy all while contributing to the outstanding service experience HSS is known for.

About the Position

• Review, prepare, and submit insurance claims accurately and in a timely manner based on services rendered and payer requirements.
• Ensure claims meet payer-specific rules, modifiers, documentation, and coverage guidelines.
• Identify billing errors or missing information prior to submission and correct accounts as needed.
• Actively work assigned AR, including follow-up on unpaid, underpaid, or denied claims.
• Track escalated claims and ensure timely resolution.
• Update terminated or incorrect insurance information promptly to prevent billing delays.
• Escalate complex or recurring issues to leadership, payer representatives, or internal departments.
• Clearly document actions taken and outcomes within billing systems.
• Respond professionally to patient and internal inquiries regarding billing and insurance issues.
• Assist in identifying payer-specific or workflow-related issues impacting reimbursement.
• Identify workflow gaps, system issues, or training needs impacting billing accuracy or collections.
• Propose solutions to improve efficiency, reduce denials, and shorten AR days.

What We're Looking For

• Proficiency in billing software and ERP systems.
• Meticulous diligence in data entry and documentation.
• Strong knowledge of insurance billing and payor regulations
• Strong analytical skills for interpreting billing data and resolving discrepancies.
• Effective communication skills, both verbal and written.
• Strong problem-solving and decision-making skills.
• Organizational skills to manage multiple tasks and meet deadlines.
• Customer service orientation with a focus on client satisfaction.
• Understanding of basic accounting principles and financial regulations.
• Ability to collaborate across departments to resolve account issues.
• Adaptability to change payer rules and internal workflows.

Qualifications for Success

• High School Diploma required; Associates or Bachelor's degree preferred.
• Prior experience in medical billing, insurance follow-up, customer service, or healthcare administration preferred but not required.
• Completion of relevant coursework, training programs, or certifications in medical billing, coding, or healthcare revenue cycle is a plus.
• Ability and willingness to learn payer rules, billing systems, and internal workflows through on-the-job training.
• Strong interest in building a career in healthcare revenue cycle or medical billing.

What You Get - Benefits That Go Beyond the Basics:

• Medical, Dental, and Vision insurance to keep you and your family well.
• 401K with 3% company contribution after one year and 1,000 hours worked
• Generous PTO, Vacation and 9 Paid Holidays
• Short Term Disability (optional) and Company-Paid Long-Term Disability
• Free Confidential Employee Assistance Program
• Exclusive Tuition Reimbursement Program with Niagara University - save on master's degree programs
• Join an organization that values giving back through community programs

Compensation

• $18.00- $20.00, per hour dependent on experience

Location

• Wheatfield, NY