Billing Specialist (hybrid)

Job DescriptionJob Description

We are seeking a dedicated Billing Specialist to join our fast-growing organization. As a Billing Specialist you will help ensure accurate and timely processing of medical claims. If you’re detail-oriented and thrive in a fast-paced environment, this is the perfect opportunity to apply your billing expertise. Be part of a supportive team where your work directly impacts efficiency, revenue, and patient satisfaction! Grider Support Services is excited to welcome dedicated professionals with a competitive salary, comprehensive benefits, and a strong commitment to work-life balance, this is an opportunity you won't want to miss.

Pay Range: $20.40 to $27.00 hourly*
Department: Revenue Cycle Management
Location: Hybrid role - Onsite at North Union Road Williamsville, NY
Position Type: Full-time, First Shift, M-F

Why Grider Support Services?

• Work-Life Balance: Enjoy a schedule with no nights or weekends.
• Comprehensive Benefits: Rich medical, dental, vision package with a 100% employer funded HRA!
• Generous Paid Time Off: 10 paid holidays, plus PTO and a sick bank.
• Secure Retirement: 401(k) plan with a 3% match.
• Peace of Mind: Employer paid life insurance policy and other voluntary life insurance offerings.
• Extra Perks: Exclusive deals, discounts, and more

Essential Duties and Responsibilities:

• Review and process patient medical records to ensure accuracy in charge posting and billing.
• Maintain knowledge and experience in utilizing CPT and ICD-10 coding systems to assign appropriate codes for procedures and diagnosis ensuring adherence with payer guidelines.
• Prepare and submit claims to insurance companies for processing including batch transmission reconciliation process.
• Communicate with healthcare providers, patients, and insurance companies regarding billing inquiries.
• Maintain up-to-date knowledge of medical billing systems and practices.
• Ensure compliance with all relevant laws and regulations related to medical billing and reimbursement.
• Collaborate and maintain a positive rapport with medical office staff to resolve any discrepancies or issues related to billing.
• Maintain knowledge and understanding of medical insurance programs and coverage offered under the various plans.
• Research and work collaboratively with medical office staff to capture all billing activities (e-bill management). This may require access to additional information systems (EMR or Data Warehouse)
• Contact patients and/or provider offices directly to secure current and accurate insurance information and provide guidance to patients on policy terms.
• Respond to the revenue cycle management team and external vendors promptly to address information required for claim resubmission and denial resolution.
• Assist in the development of protocols and workflows to ensure correct billing and maximum reimbursement.
• Maintain understanding of payer websites and content for eligibility purposes and navigation of Practice Management integrated eligibility module.

Qualifications:

• High School Diploma or GED required
• Certificate from technical school in Medical Billing
• 1-2 years’ experience in billing or medical office operation required
• Basic knowledge of ICD-10 and CPT Codes, required
• Understanding of Revenue Cycle Management,
• Ability to multi-task with accuracy required, strong organizational skills.
• Strong customer service and communication skills with ability to utilize computer programs.

* The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant at the time of posting. When determining pay, several factors will be considered including but not limited to location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and budget.

Grider Support Services, LLC is proud to be an equal opportunity employer. We celebrate and are committed to creating an inclusive environment for all employees. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, , color, , , , , genetic information, military or veteran status, , marital status, or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.