Billing Specialist

electromedinc; United States; Hybrid; USD 30,000 - 41,000; Full time

Benefits offered by this job

Paid time off

Incentive plan

Hybrid/remote options

Maternity/paternity leaves

Education assistance

Well-being on demand

401(k) match

Health benefits

Training opportunities

Job summary

Electromed is seeking a Billing Specialist to join our team. You will submit patient bills to appropriate payers, follow up on open accounts in a timely and accurate manner, and ensure claims are submitted correctly to support adjudication.

The role requires reviewing trip lines, communicating with insurance companies and internal departments, educating patients on complex billing situations, and recording information in internal systems.

Qualifications

• Two years of post-secondary education or equivalent work experience.
• Experience with insurance billing/reimbursement; DME preferred.
• Experience with third-party and government payers.
• High attention to detail with multiple priorities.
• Excellent written and verbal communication skills.

Responsibilities

• Submit patient bills to payers and follow up on open accounts.
• Ensure timely claim submission and follow-up to support adjudication.
• Resolve denial issues when working with insurance companies.
• Educate patients on complex billing situations.
• Record information accurately in internal systems.
• Meet monthly team goals.

Skills

Attention to detail

MS Office

Analytical skills

Communication skills

Time management

Customer service

Independent worker

Payer relations

Education

Two years post-secondary education

Tools

Insurance claim software

MS Office (Outlook, Excel, Word)

Job description

People Purpose:

It is no longer ok to just be competitive regarding how we treat our people in everything we do. Our leadership team believes wholeheartedly we need to be beyond competitive and cultivate a culture of proud, driven employees who are passionate about the work they do and where they do it. Our leadership strives to unleash unsurpassed potential in every team and individual employed and owns making that happen. Sincere, Simple, Smart.

What makes us Beyond Competitive:

• 6 weeks’ time off annually
• Incentive plan
• Flexible hybrid/remote work options
• Full pay maternity, paternity, parental, short-term disability leaves
• Employee driven recognition program
• Access to hundreds of training opportunities
• Company paid educational assistance
• Well-being on demand
• Perks at Work
• Competitive health and welfare plans -HSA company contribution
• 401(k) company match
• Great culture and people!

The Opportunity:

The Billing Specialist submits patient bills to the appropriate payers and follows up efficiently on open accounts in a timely and accurate manner. This role also ensures timely claim submission and follow-up, reconciles claims, and resolves issues to support appropriate adjudication. The Billing Specialist responds knowledgeably to a wide range of complex denial issues when working with insurance companies.

Job Outcomes You Must Get:

• Follow Electromed mission and core values, while striving to achieve company goals
• Understand and adhere to local State and Federal healthcare regulatory and compliance rules
• Review billing files for appropriate modifiers, diagnosis codes, patient demographic information and insurance prior to submission
• Utilize multiple electronic billing, medical retrieval systems, and payer websites to resolve insurance denials and patient issues
• Communicate effectively with internal customers, including Reimbursement and Accounting Departments
• Ensure claims are processed and followed up in a timely manner to meet accounts receivables aging and cash receipt goals
• Review patient statements to ensure accuracy
• Complete payment reconciliation according to contracted payer fee schedules
• Work to achieve monthly team goals
• Educate patients on complex billing situations
• Accurately record information to internal systems
• Complete other miscellaneous tasks as needed to help support the reimbursement team

Job Outcomes Requirements:

• Two years post-secondary education or equivalent work experience
• Experience with insurance billing/reimbursement, Durable Medical Equipment (DME) preferred
• Experience with third-party and government payers
• Proficiency in Microsoft Office programs: Outlook, Excel, Word
• Experience with insurance claim software
• Experience with professional claim submission preferred
• High attention to detail and accuracy with the ability to handle multiple priorities
• Self-starter, motivated
• Ability to follow through professionally when working with various payers
• Ability to work independently and as a contributing team member
• Knowledge of insurance requirements and ability to evaluate medical justification to support appropriate reimbursement
• Excellent written and verbal communication skills
• Demonstrated exceptional customer service skills
• Ability to prioritize and organize
• Strong analytical and problem-solving skills

Compensation

• The compensation range for this position is $22.00 to $30.00 hourly with the final agreed upon rate to be based on individual experience, skills, and qualifications.
• Additional benefits include performance-based incentives
• comprehensive health benefits
• retirement savings options
• paid time off
• opportunities for professional growth and development
• Benefits eligibility and offerings may vary based on role and location.

Be You.

Our people celebrate diverse individuals, backgrounds, and thinking. As an equal opportunity employer this is the absolute most important belief in cultivating our culture and growth together.

Core Values

Customer-Focused. Integrity. Resourceful. Collaborative. Results-Driven.

Electromed develops, manufactures, and markets innovative airway clearance devices that help people around the world breathe better, stay healthier, and lead active and fulfilling lives.

Making Life’s important moments possible-one breath at a time.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.