Billing Specialist (On-Site )

HR HealthCare; Denver (CO); On-site; USD 42,000 - 54,000; Full time

Job summary

HR HealthCare seeks a detail-oriented Billing Specialist to support daily billing operations in Denver, CO. You will process claims, verify insurance, and ensure payer requirements are met. The role involves collaboration with office teams and handling inquiries about billing issues.

Entry-level candidates with a High School Diploma and 0–2 years in a healthcare setting are encouraged to apply. Proficiency in MS Office and familiarity with Brightree/Availity is preferred.

Qualifications

• High School Diploma required.
• 0–2 years in a healthcare office or administrative setting.
• Proficiency in Microsoft Office and data entry.
• Strong communication, organizational skills and teamwork.
• Familiarity with Brightree, Availity, or similar billing software.

Responsibilities

• Process 50–90+ claims daily with accuracy.
• Review codes, diagnostics, and dates for compliance.
• Submit claims to payers including Medicare/Medicaid.
• Perform insurance eligibility checks using Brightree/Availity.
• Handle disputes, appeals, and follow-up on denials.

Skills

Strong communication

Organizational skills

Teamwork

Education

High School Diploma

Tools

Brightree

Availity

CMS 1500

Microsoft Office

Job description

We are seeking a detail-oriented and dependable Billing Specialist to join our team. This entry-level position supports the day-to-day billing operations by processing claims accurately and efficiently, maintaining billing information, and helping ensure claims are submitted in accordance with insurance payer requirements. Duties & Responsibilities

• Claims Processing:
  • Process 50–90+ claims daily with a focus on accuracy.
  • Review and verify billing codes (HCPCS), diagnostic information, and span dates for compliance.
  • Submit claims to insurance agencies, Medicare/Medicaid, and other payers.
• Insurance Verification:
  • Conduct eligibility checks using systems like Brightree and Availity.
  • Ensure patient insurance information is up to date and communicate coverage details (deductibles, coinsurance) to relevant teams.
• Dispute Resolution:
  • Handle disputes, appeals, and follow-up tasks for denied or pending claims.
  • Address phone inquiries related to billing issues.
• Data Management:
  • Maintain accurate records of claims and patient billing information.
  • Update patient accounts and billing systems as needed.
• Collaboration:
  • Work closely with the Customer Experience Team and management to resolve billing discrepancies.
  • Support office operations as needed (e.g., shipping confirmations, Sales Order reviews).

Qualifications

• Education: High School Diploma
• Experience: 0–2 years in a healthcare office or administrative setting.
• Technical Skills: Proficiency in Microsoft Office and data entry.
• Soft Skills: Strong communication, organizational skills, and teamwork.
• Preferred Knowledge: Familiarity with Brightree, Availity, or similar billing software.
• Claim Form: Knowledge of CMS 1500