Healthcare Billing Specialist

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 38,000 - 52,000; Full time

Job summary

Highmark Health is seeking a healthcare billing professional in Pittsburgh to manage pro-fee billing activities, including posting payments, denials, and patient inquiries. The role requires attention to CPT/ICD-9 coding, accurate deposits, and timely submissions.

You will also verify patient demographics and insurance, ensuring compliance with HIPAA and related policies. Ideal candidates have 1–3 years of healthcare billing experience, a medical billing program credential preferred, and

Qualifications

• Minimum High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience.
• 1-3 years’ healthcare billing experience.
• Preferred Graduate of a medical billing program.
• Medical Records training and OASIS education.

Responsibilities

• Posts co-payments, patient payments, and insurance company payments (paper and electronic), and denials. Performs reconciliation of payments.
• Prepares and deposits payments received. Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).
• Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions.
• Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system.
• Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner.
• Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to billing.
• Performs all other duties as assigned, including but not limited to supporting front end office processes.

Skills

Healthcare billing experience

Education

High school diploma or GED

Medical billing program graduate

Medical Records training

OASIS education

Job description

Highmark Health is seeking a healthcare billing professional in Pittsburgh to manage pro-fee billing activities, including posting payments, denials, and patient inquiries. The role requires attention to CPT/ICD-9 coding, accurate deposits, and timely submissions.

You will also verify patient demographics and insurance, ensuring compliance with HIPAA and related policies. Ideal candidates have 1–3 years of healthcare billing experience, a medical billing program credential preferred, and