Healthcare Billing Specialist - Claims Expert

Nexus HR Services; Centennial (CO); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

401(k) matching

Health, dental, and vision insurance

Life and disability insurance

FSA

HSA

Employee Assistance Program

PTO and holidays

Wellness programs

Job summary

Nexus HR is seeking a detail-oriented Billing Specialist to join a reputable healthcare clinic in Centennial, CO. This role focuses on accurate, timely billing and supporting insurance reimbursements while upholding patient confidentiality and service excellence.

The Billing Specialist will review and submit claims, follow up on balances, and communicate with plans, with CPT/HCPCS/ICD proficiency preferred. This position includes comprehensive benefits and growth opportunities.

Qualifications

• High School Diploma (or GED).
• 5 years’ experience working in a medical office performing medical billing processes.
• 2 years of billing experience.
• Experience with Greenway Intergy/Phreesia.
• CPT/HCPCS/ICD-9/ICD-10 proficiency.
• Professional verbal and written communication skills.
• Demonstrated knowledge and proficiency in MS Office (Excel, Word, Access).
• Knowledge of medical billing.
• Knowledge of medical terminology.

Responsibilities

• Insurance account balance follow-up for all divisions.
• Contact insurance plans for status of outstanding claims and resubmits/appeals as required.
• Submits any medical records requested for claims to process.
• Reviews and corrects all claim denials from payment specialist.
• Answers incoming billing phone calls.
• Other responsibilities as delegated by management.
• Back up to be done by Guarantor AR specialist.
• Other duties as assigned.

Skills

Medical billing

Communication

Attention to detail

MS Office

Medical terminology

CPT/HCPCS/ICD coding

Billing in a medical office

Education

High School Diploma (or GED)

Tools

Greenway Intergy

Phreesia

Job description

Nexus HR is seeking a detail-oriented Billing Specialist to join a reputable healthcare clinic in Centennial, CO. This role focuses on accurate, timely billing and supporting insurance reimbursements while upholding patient confidentiality and service excellence.

The Billing Specialist will review and submit claims, follow up on balances, and communicate with plans, with CPT/HCPCS/ICD proficiency preferred. This position includes comprehensive benefits and growth opportunities.