Billing Specialist

About Performance Optimal Health

Performance Optimal Health is a prominent wellness organization committed to a comprehensive approach to health emphasizing four key pillars: Exercise, Nutrition, Recovery, and Stress Management. We are dedicated to enhancing lives through exemplary care, service, and teamwork.

Position Overview

We are expanding our Practice Administration and Billing department and seek a meticulous Billing Specialist to join our team. This role encompasses responsibilities in billing, insurance verification, authorizations, and accounts receivable follow-up. The candidate must be detail-focused, organized, and excel in a cooperative work setting.

Key Responsibilities

• Accurately reviewing and processing patient claims and invoices promptly
• Verifying insurance eligibility and benefits, securing and tracking necessary authorizations or pre-certifications as required by insurers
• Addressing billing discrepancies such as denials and underpayments through liaising with insurance providers, patients, and internal personnel
• Preparing and submitting appeals for denied or insufficiently paid claims
• Maintaining comprehensive and precise patient records covering demographics, insurance details, and authorization statuses
• Posting payments and adjustments, closely monitoring accounts receivable to ensure effective collection of balances
• Clearly communicating insurance coverage information, patient obligations, and financial agreements to patients
• Safeguarding patient privacy while adhering to HIPAA regulations
• Partnering with billing, clinical, and front desk teams to facilitate smooth revenue cycle operations
• Participating in training sessions, webinars, and team meetings as required
• Required to work full-time hours onsite at our Stamford, CT facility

Qualifications

• Minimum of a high school diploma or equivalent; an Associate degree is preferred
• At least two years of experience in medical billing, accounts receivable, or insurance verification
• Familiarity with CPT, ICD-10, and HCPCS coding systems as well as insurance reimbursement workflows
• Experience using billing software, electronic medical records (EMR) systems, and proficiency in Microsoft Office (Excel required); familiarity with Prompt EMR is advantageous
• Strong skills in communication, organization, and analysis
• Ability to manage sensitive information with professionalism and confidentiality
• Exceptional attention to detail and precision in data entry and documentation

Benefits

• Competitive compensation commensurate with experience
• Medical, dental, and vision insurance coverage
• 401(k) plan featuring company match
• Full access to all Performance Optimal Health facilities
• Eligibility for internal and external discounts
• Opportunities for mentorship and career advancement within the company
• A positive, collaborative work environment