Billing Specialist

Nulton; Johnstown (Cambria County); On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

Paid vacation

Paid holidays

Job summary

Nulton Diagnostic and Treatment Center is seeking a Billing Specialist to handle all aspects of medical billing, including insurer communications, prior authorizations, data entry, and eligibility checks. The role emphasizes reading 835s, posting payments, and managing denials, with responsibilities spanning paper and electronic 1500 claims.

The position offers full-time employment with benefits including medical, dental, vision, a 401(k) plan with matching contributions, paid vacation, and paid

Qualifications

• High School Diploma or equivalent.
• Excellent communication skills, computer skills, and knowledge of Medicare, Medicaid, Commercial and Third-Party Insurers.
• At least one year of billing experience preferred.
• Must be able to obtain Act 33, Act 34 and FBI clearances.

Responsibilities

• Post payments from insurance and clients.
• Management of the denials/rejections.
• Reading and understanding 835 files.
• Generate 1500 form claims via paper or electronically.
• Navigate insurance websites/maintain user status.
• General billing duties related to the scope of the position.

Skills

Billing experience

Communication skills

Data entry

Eligibility verification

Medicare knowledge

Education

High School Diploma

Tools

Medical billing software

Job description

BILLING SPECIALIST

Position Description:

We are looking for a Billing Specialist to join our Team!

The Billing Specialist is responsible for all aspects of medical billing within our Agency. Duties include, but are not limited to: speaking with insurance companies, obtaining prior authorizations, daily entry of data, and determining insurance eligibilities. The Billing Specialist will also check eligibilities on patients, communicate directly with patients regarding billing, obtain authorizations and update and maintain patient insurance in the current software. Additional responsibilities will include:

a. Post payments from insurance and clients
b. Management of the denials/rejections
c. Reading and understanding 835 files
d. Generate 1500 form claims via paper or electronically
e. Navigate insurance websites/maintain user status
f. General billing duties related to the scope of the position, but not mentioned specifically above.

Education, Experience, Skills, Training:

High School Diploma or equivalent.

The successful applicant must have excellent communication skills, computer skills, and knowledge of Medicare, Medicaid, Commercial and Third-Party Insurers. Applicant must have efficient knowledge of eligibility verification and claims processing. At least one year of billing experience preferred. Must be able to obtain Act 33, Act 34 and FBI clearances.

This is a full-time position with medical, dental and vision benefits, as well as, 401(k) Retirement Plan with matching company contributions, paid vacation and paid holidays.

Nulton Diagnostic and Treatment Center is an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status.