Healthcare Billing & Insurance Specialist

RightSite Health; San Antonio (TX); Sur place; USD 45 000 - 65 000; Plein temps

Avantages offerts par ce poste

Competitive salary

Healthcare coverage

Career growth opportunities

Résumé du poste

RightSite Health is hiring an Insurance and Billing Specialist to manage the full billing cycle, from insurance verification to claim submission. You will ensure accuracy, compliance, and optimized revenue while collaborating across departments.

The role requires 2+ years in medical billing, proficiency with billing software, CPT/ICD-10 knowledge, and HIPAA familiarity. You will help streamline processes and improve patient satisfaction through precise billing operations.

Qualifications

• Bachelor’s degree in healthcare administration, business, or related field or equivalent experience.
• Minimum 2 years of experience in medical billing and insurance verification.
• Proficiency in medical billing software.
• Strong knowledge of CPT and ICD-10 coding.
• Familiarity with HIPAA regulations and privacy standards.

Responsabilités

• Verify insurance coverage and ensure accurate loading of insurance information for billing purposes.
• Submit claims to our billing partner.
• Create invoices for case rates and other billing scenarios as needed.
• Perform front-end edits on patient demographics, correcting information such as date of birth and addresses.
• Conduct claim audits and reconciliations to ensure services are billed correctly.
• Research uninsured and unknown insurance cases to identify potential coverage.
• Assist in the implementation and testing of billing automation processes.
• Perform ongoing audits of billing automations to ensure accuracy and efficiency.
• Serve as a liaison with Operations to identify data collection improvements.
• Serve as an SME for Navigators on insurance-related questions.

Connaissances

Medical billing

Attention to detail

Problem solving

Communication

Technical proficiency

Formation

Bachelor’s degree in healthcare administration or related field

Outils

Billing software

Excel

Data analysis tools

Description du poste

RightSite Health is hiring an Insurance and Billing Specialist to manage the full billing cycle, from insurance verification to claim submission. You will ensure accuracy, compliance, and optimized revenue while collaborating across departments.

The role requires 2+ years in medical billing, proficiency with billing software, CPT/ICD-10 knowledge, and HIPAA familiarity. You will help streamline processes and improve patient satisfaction through precise billing operations.