Billing Specialist - Mom and Baby
About the position A Billing Specialist plays a key role in ensuring the financial health of our Mom and Baby Division, which specializes in providing maternity-related medical equipment billed through insurance. This position focuses on identifying and resolving unpaid or denied insurance claims, ensuring timely reimbursement, and contributing to the continuous improvement of billing and collections processes. As a Billing Specialist, you will analyze claim denials, correct billing errors, and work directly with insurance providers to secure payment. This position requires strong attention to detail, a proactive problem-solving mindset, and a commitment to delivering accurate and efficient billing services. Responsibilities • Perform detailed analysis of denied or unpaid insurance claims to determine root causes and corrective actions. • Follow up on unpaid claims; correct and resubmit as necessary to ensure timely reimbursement. • Monitor and interpret reports to identify patterns, trends, and opportunities for process improvement. • Collaborate effectively with insurance carriers, patients, and internal departments to resolve billing discrepancies and ensure accurate claim resolution. • Maintain a comprehensive understanding of current billing regulations, payer policies, and reimbursement policies. • Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance • Maintain HIPAA/patient confidentiality • Performs other job duties as required Requirements • High school diploma or GED • Excellent written and verbal communication skills • Proficient computer and data entry skills (Excel, Google Workspace, etc.) • Strong analytical, problem-solving, and organizational skills with meticulous attention to detail • Ability to work independently, prioritize effectively, and meet deadlines in a fast-paced environment • Proficient in health insurance, as it pertains to billing and reimbursement • Exposure to DME documentation, modifiers, and HCPCS coding • Familiarity with Medicare, Medicaid, and commercial payers Benefits • Competitive Pay • Health Plans with FSA or HSA options • Dental, and Vision Insurance • Optional Life Insurance • 401K with Company Match • 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s) • Additional Parental benefits to include fertility stipends, free diapers, breast pump • Paid Holidays • PTO Accrual from day one • Employee Assistance Programs and SO MUCH MORE!! Apply tot his job