Precision Billing Specialist: Claims & Denials Expert

High-Country-Community-Health-2; Boone (NC); On-site; USD 42,000 - 62,000; Full time

Job summary

High Country Community Health is seeking a Billing Specialist to join our revenue cycle team. You will work to ensure prompt, accurate processing of claims, verification of eligibility, and posting of payments across multiple sites.

The role requires strong attention to detail, teamwork, and excellent communication with patients and insurers. The ideal candidate has 2+ years in medical office billing, proficiency in Word/Excel, and a willingness to learn EPIC.

Qualifications

• High school diploma or GED required; Billing certificate is a plus.
• Two years of medical office experience; billing experience a plus.
• Proficiency with computers, Windows/Office (Word & Excel) required.
• Excellent customer service to internal and external customers.
• Willingness to work cooperatively in a team setting.
• Ability to ensure accuracy and thoroughness in billing and documentation.
• Ability to work with minimal supervision and maintain strong work ethic.
• Clear oral and written communication skills.
• Ability to make timely, informed decisions affecting billing and revenue.
• EPIC knowledge is strongly preferred.

Responsibilities

• Data management and verification of patient information.
• Check eligibility and verify benefits for procedures.
• Review patient bills for accuracy and completeness; obtain missing data.
• Prepare, review, and transmit claims via billing software (electronic/paper).
• Perform encounter reviews to ensure codes/charges are correct.
• Monitor daily schedules to capture all charges.
• Follow up on unpaid claims within standard billing cycles.
• Verify insurance payments for accuracy and contract compliance.
• Contact insurers about any payment discrepancies.
• Bill secondary/tertiary insurances as needed.
• Review accounts for patient follow-up related to insurance.
• Manage claim denials: refile, research, and appeal.
• Answer patient or insurer queries about accounts.
• Set up patient payment plans and manage collections.
• Update cash spreadsheets and run collection reports.
• Post insurance payments as assigned and ensure daily postings.
• Collaborate with sites to ensure accurate postings.
• Audit Sliding Fee Scale applications; ensure complete documentation.
• Serve as SFS subject matter expert and integrate into EHR.
• Coordinate with Site Leads to correct errors; follow-up on fixes.
• Assist Billing Team with special projects as needed.
• Identify patients with expiring slides after SFS claims catch up.
• Perform other duties as assigned.

Skills

Customer service

Teamwork

Oral and written communication

Attention to detail

Decision making

EPIC knowledge

Education

High school diploma or GED

Billing certificate

Tools

Microsoft Word

Microsoft Excel

Job description

High Country Community Health is seeking a Billing Specialist to join our revenue cycle team. You will work to ensure prompt, accurate processing of claims, verification of eligibility, and posting of payments across multiple sites.

The role requires strong attention to detail, teamwork, and excellent communication with patients and insurers. The ideal candidate has 2+ years in medical office billing, proficiency in Word/Excel, and a willingness to learn EPIC.