Billing Specialist

Third Way Center is seeking a dedicated and detail-oriented Billing Specialist to join our team. The ideal candidate will have a strong understanding of medical billing processes, including claim submissions, follow-up procedures, and ensuring timely reimbursement. This individual will be responsible for ensuring the accuracy and completeness of all claims, as well as addressing and resolving billing discrepancies. The Billing Specialist will report directly to the Controller.Verify and update client information in the system for billing accuracy, ensuring all data (e.g., diagnosis, insurance) is current and corrected as needed.Ensure the correct billing codes are applied to services rendered to minimize rejections or non-payments.Review and verify the completeness and accuracy of all claims before submission.Generate invoices for clients based on provided billing information.Prepare and submit electronic or paper claims to insurance providers in compliance with billing guidelines.Complete all tasks with meticulous attention to detail, ensuring adherence to company policies, departmental standards, and HIPAA regulations while maintaining confidentiality.Research rejected or denied claims, reconcile discrepancies, correct errors, and resubmit claims or appeals as necessary.Conduct consistent follow-up with insurance carriers on outstanding claims until payments are processed and accounts are resolved.Participate in regular meetings with the finance team to discuss and address any billing or reimbursement issues.Perform additional tasks and duties as assigned.Qualifications:Bachelors or Associates degree in Business, Accounting, Healthcare Administration, or a related field.A minimum of 1-3 years of experience in healthcare billing or a comparable role.Strong attention to detail with exceptional problem-solving and analytical skills.Ability to work collaboratively in a team environment, with a flexible and adaptable approach.High level of professionalism, with excellent customer service skills.Strong written and verbal communication abilities.Knowledgeable in Google Suite and financial accounting systems similar to Financial Edge.Benefits:We have a generous vacation package. This position comes with full benefits including medical, health, dental, vision, flex, accident, and disability options.The candidate must possess a current valid Colorado driver's license, have a clean driving record(no DUI/DWAI in the last five years), clean criminal record and be at least 23 years of age. Additionally, the candidate must pass an extensive background and DMV check. We follow Federal Drug Screening laws.**Being vaccinated for COVID-19 is a condition of employment**Third Way Center, Inc. is an Equal Opportunity Employer.

Created: 2025-02-26