Medical Billing & Insurance Verification Specialist

Rightsite-Health; San Antonio (TX); Sur place; USD 50 000 - 70 000; Plein temps

Avantages offerts par ce poste

Competitive base salary

Market-competitive healthcare coverage

Growth opportunities

Résumé du poste

RightSite Health in San Antonio, TX is hiring an Insurance and Billing Specialist to manage the full billing cycle, from insurance verification to claim submission and reconciliation. This role requires accuracy, independence, and collaboration with multiple departments to optimize revenue and compliance.

You will leverage expertise in CPT/ICD-10 coding and HIPAA privacy standards to ensure clean submissions and timely payments while improving data collection and automation in billing workflows.

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, addresses, and member IDs
• Conduct claim audits and reconciliations to ensure all services are accounted for and 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, identifying opportunities for improvement in front-end data collection
• Serve as a SME for Navigators on insurance-related questions

Connaissances

Insurance verification

Billing software

CPT ICD-10 coding

HIPAA compliance

Attention to detail

Problem solving

Communication

Excel

Data analysis

Formation

Bachelor's degree in healthcare administration, business, or related field

Outils

Billing software

Excel

Description du poste

RightSite Health in San Antonio, TX is hiring an Insurance and Billing Specialist to manage the full billing cycle, from insurance verification to claim submission and reconciliation. This role requires accuracy, independence, and collaboration with multiple departments to optimize revenue and compliance.

You will leverage expertise in CPT/ICD-10 coding and HIPAA privacy standards to ensure clean submissions and timely payments while improving data collection and automation in billing workflows.