Medical Billing Specialist

Tech9; Lehi (UT); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Holidays

Job summary

Gadzoom Health, a growing Medical Directorship Group, seeks experienced Medical Billing Specialists to support revenue cycle operations for services across skilled nursing facilities in multiple states. This in-office role in Utah requires attention to detail and the ability to process claims, post payments, follow up on denials, and resolve discrepancies.

Hybrid schedule may be considered at manager's discretion.

Qualifications

• Experience in medical billing or revenue cycle within healthcare facilities.
• Familiarity with Medicare and Medicaid requirements.
• Ability to learn new systems quickly.
• Work independently with a high degree of accuracy.
• Experience with skilled nursing facilities is a plus.

Responsibilities

• Review patient demographics and insurance information for accuracy.
• Prepare and submit claims per payer, contracts and regulatory requirements.
• Review claim status and follow up on unpaid, rejected, or denied claims.
• Research and resolve billing discrepancies and reimbursement issues.
• Maintain billing records and assist with account reconciliation.
• Communicate coverage and patient financial responsibility clearly.

Skills

Medical billing

Revenue cycle management

Charge entry

Claim submission

Payment posting

Denial resolution

Payer portals

Attention to detail

Tools

Availity

Noridian

Prism

Gehrimed

UHC

Job description

Gadzoom Health is a growing Medical Directorship Group dedicated to providing exceptional care to patients in skilled nursing facilities. Our team consists of skilled professionals who are passionate about making a difference in the lives of others and improving patient health outcomes.We are actively seeking experienced Medical Billing Specialists to support accurate and efficient billing and revenue cycle operations for our services provided across skilled nursing facilities in multiple states. This position will assist with claim submission, payment posting, account follow up, and resolving billing issues and discrepancies.Billing Specialists will report to the Director of Revenue Cycle Management and work closely with our providers, insurance payers, patients, and partnered skilled nursing facility communities. The ideal candidate has prior hands on medical billing or revenue cycle experience, learns new systems and processes quickly, and can work independently while maintaining a high level of accuracy.This is a full time, in office position with the potential to transition to a hybrid schedule at the manager's discretion.Key Responsibilities:Review patient demographic, insurance, and service information for accuracy and completenessPrepare and submit claims in accordance with payer, contractual, and regulatory requirementsReview claim status and follow up on unpaid, rejected, or denied claimsResearch and resolve billing discrepancies, claim edits, and reimbursement issuesAssist with account reconciliation and identify outstanding balances requiring follow upMaintain organized and accurate billing records within internal systemsContribute to process improvements that increase accuracy, improve efficiency, and reduce claim rejections and denialsProvide clear and professional communication regarding coverage and patient financial responsibilityThe responsibilities listed provide a general overview of the position and are not intended to be comprehensive. Duties may be added, removed, or modified based on department needs.Qualifications:This position is best suited for a candidate with established medical billing or revenue cycle experience. It is not currently intended as an entry level opportunity.Working knowledge of medical billing processes, including charge entry, claim submission, payment posting, claim follow up, and denial resolutionKnowledge of Medicare and Medicaid requirementsExperience working with payer requirements across multiple states. Familiarity with plans in Utah, Nevada, Texas, and Washington a plusAbility to learn new systems and processes quickly. Advanced MD, Gehrimed, Availity, Noridian, Prism, UHC a plusAbility to navigate multiple payer portals and computer systems efficientlyExperience working with skilled nursing facilities or other post acute care settingsBenefits at Gadzoom Health:Comprehensive benefits package including medical, dental, and vision insuranceSix company paid holidaysPaid time offOpportunities for professional development and career advancement reimbursement with manager approvalE04JI802p0k5409atlo