Billing Specialist

Billing Specialist I

50% Home Health / CTR

• Submit and process Home Health and CTR insurance claims
• Perform accounts receivable (AR) follow-up to resolve outstanding balances
• Post insurance and patient payments accurately and timely
• Conduct insurance follow-up on denied, rejected, or unpaid claims
• Review documentation for billing accuracy and compliance prior to claim submission

50% DME

• Submit DME claims to appropriate payers
• Perform DME accounts receivable (AR) follow-up (e.g. denial management, collections)
• Post insurance and patient payments accurately and timely
• Communicate with payers regarding claim status, denials, payment issues, and documentation requirements
• Work assigned DME billing queues to ensure timely claim processing and resolution of outstanding accounts
• Process and resolve on-hold invoices to ensure timely billing
• Review and reconcile negative balance invoices, researching and correcting discrepancies as needed
• Research, add, and maintain new HCPCS codes and billable items within the billing system
• Participate in department projects, system updates, workflow improvements, and other operational initiatives as assigned
• Assist with ongoing maintenance of billing processes and support continuous processimprovement efforts

Personal Qualifications

• Ability to work independently with minimal supervision.
• Brightree experience preferred
• Revenue cycle experience preferred
• Strong verbal and written communication skills
• Demonstrates a strong work ethic and commitment to meeting deadlines
• Organized with excellent attention to detail
• Dependable and accountable in completing assigned responsibilities
• Ability to prioritize workload and manage multiple tasks effectively
• Team-oriented with a willingness to support coworkers and departmental goals
• Adaptable to changing priorities and process improvements
• Strong problem-solving and critical-thinking skills
• Maintains professionalism and confidentiality in all interactions