Specialist, Billing

This is a Fully Remote Job
About Our Client:
The organization operates in the healthcare industry, focusing on strengthening independent community healthcare, particularly in rural areas. It addresses the challenge of supporting independent hospitals and health systems by providing guidance, operations experience, and tech-enabled shared services to help these providers remain viable and fulfill their missions.
About the Opportunity:
The SPECIALIST, BILLING is responsible for managing daily billing operations, ensuring timely and accurate claim submissions and compliance with insurance billing policies and regulations. This role is critical in maintaining the organization’s financial health by resolving billing edits, coordinating with internal teams, and supporting efforts to reduce account receivable days.
Responsibilities:
Manage daily billing and claim submissions ensuring accuracy and compliance.
Review and resolve billing claim edits and discrepancies.
Maintain knowledge of payer-specific billing requirements and update team resources.
Import and process claims from host systems as needed.
Reconcile payments with secondary payers and ensure proper posting.
Ensure all billing practices comply with CMS, HIPAA, and organizational policies.
Meet assigned daily productivity and quality standards.
Collaborate with patient financial services, finance, and billing departments to resolve account issues.
Support management in reducing account receivable days to improve cash flow.
Requirements:
3-5 years of experience as a primary biller in a hospital business office.
In-depth knowledge of billing codes, guidelines, and third-party insurance payer requirements.
Experience with payer portals, electronic health record systems, billing software, and remittance processing.
Strong communication skills and ability to handle sensitive information confidentially.
High school diploma or equivalent; additional medical billing training is a plus.
Pay Range and Compensation Package:
$45,094.28 - $67,641.42
Benefits & Perks:
Medical, dental, and vision insurance.
Short and long-term disability coverage.
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

Experience
3-5 yrs

Work arrangement
Yes