Billing Specialist

Confluent Health; Indiana; On-site; USD 25,000 - 39,000; Full time

Job summary

Confluent Health is seeking an experienced Medical Billing Specialist to manage the billing of claims for commercial and government insurances. You will follow approved processes to pass claims through EMR to clearinghouse, post charges, and resolve denials with accuracy.

This role requires attention to detail, discretion with PHI, and strong communication skills to collaborate with staff and providers. Expect a supportive team and regular month-end closings.

Qualifications

• Minimum 5 years of medical billing experience.
• High school diploma or GED required.
• Proficient with Windows-based technologies.
• Ability to protect patient PHI and maintain confidentiality.
• Prior medical office experience preferred.
• Strong problem-solving and multitasking abilities.

Responsibilities

• Prepare and correct claims to pass from the EMR to clearinghouse.
• Post charges and complete claims to payers in a timely fashion.
• Resolve patient accounts by correcting billing edits and rejections.
• Navigate portals to send claims for adjudication.
• Prepare invoices for third party payers.
• Prepare enrollments to send claims through clearinghouse.
• Analyze trends to reduce claim denials.
• Communicate clearly with assigned staff.
• Provide excellent customer service to team members and patients.
• Meet deadlines, especially during end-of-month closings.
• Support team in achieving productivity targets.
• Participate in ongoing educational activities related to duties.

Skills

Medical billing

Attention to detail

Multitasking

PHI protection

Team player

Communication skills

Problem solving

Discretion

Customer service

Windows-based systems

Education

High school diploma or GED

Tools

Windows

Job description

Overview

Responsible for the billing of claims and resolving claim issues for commercial and government insurances by following the approved processes, policies and procedures set by the Regional Billing Organization

Responsibilities

• Prepare and correct claims to cleanly pass from the EMR to clearinghouse.
• Perform posting charges and completion of claims to payers in a timely fashion.
• Resolve patient accounts through the correction of billing edits and clearinghouse rejections.
• Navigate portals to send claims for adjudication.
• Prepare invoices to send to third party payers.
• Prepare enrollments to send claims through the clearinghouse.
• Analyze and identify trends to reduce the number of claim denials.
• Communicate clearly and in a positive manner with assigned staff.
• Provide excellent customer service to team members and patients.
• Meets important deadlines consistently especially during end-of-month/EOM closings.
• Supports the team in reaching or exceeding target goals for productivity.
• Participates in continuing educational activities relative to assigned duties and responsibilities.

Qualifications

• High school diploma or GED required.
• Minimum 5 years of medical billing experience
• Computer proficiency and experience in Windows-based technologies
• Ability to be discreet and protect patient PHI.
• Prior work experience in a medical office setting preferred.
• Excellent problem-solving skills, attention to detail, management of multiple tasks and the ability to do so independently.
• Ability to handle difficult situations with a positive attitude.
• Good interpersonal, oral, and written communication skills.
• Must be able to work as part of a team with peers and leadership within the organization

About

Confluent Health,LLCand its affiliates are equal opportunity employers committed to building a diverse and inclusive workforce. We do not discriminate based on race, color, religion, sex, sexual orientation, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, national origin, marital status, age, disability, veteran status, or other applicable legally protected characteristics. If you need assistance or would like to requestan accommodationdue to a disability, please contact us at [e-mail].