Billing & Claims Specialist - Payer Denials & Appeals Expert

Yeo & Yeo HR Advisory Solutions; Goshen (IN); On-site; USD 42,000 - 60,000; Full time

Job summary

Crossroads Health & Cosmetic Center in Goshen, IN is seeking a Billing & Claims Specialist to manage all insurance-related activities. You will review visits, submit clean claims, handle denials, and push for accurate payments, supporting revenue and patient care.

The role starts on-site with potential remote work after digital processes are in place. A CPC/CPB or CCS certification is preferred, with experience in CPT/ICD-10 coding and payer negotiations.

Qualifications

• Strong background in medical billing/claims for physician or outpatient practice.
• Experience with payer disputes or appeals.

Responsibilities

• Review visit codes against documentation and submit clean claims to commercial payers.
• Work denials, submit corrected claims, write and win appeals.
• Review payer contracts and monitor payments against contracted rates.

Skills

Billing & claims

Payer appeals

CPT/ICD-10 coding

E/M coding

Payer negotiations

Education

CPC or CPB (AAPC)

CCS (AHIMA)

CPMA (AAPC)

Tools

Office Ally

Practice Mate

Service Center

EHR/PM software

Job description

Crossroads Health & Cosmetic Center in Goshen, IN is seeking a Billing & Claims Specialist to manage all insurance-related activities. You will review visits, submit clean claims, handle denials, and push for accurate payments, supporting revenue and patient care.

The role starts on-site with potential remote work after digital processes are in place. A CPC/CPB or CCS certification is preferred, with experience in CPT/ICD-10 coding and payer negotiations.