Billing and Collections Specialist

Job Description

Position Summary
We are seeking a detail-oriented Business Office Billing & Collections Specialist to support revenue cycle operations within a healthcare environment. This position is responsible for ensuring accurate billing, maximizing reimbursement, managing claims processing, resolving denials, and maintaining timely collections across multiple payer types. The ideal candidate will have experience in healthcare business office functions and a strong understanding of patient financial processes.


Key Responsibilities

Process and submit accurate claims while ensuring billing and coding compliance.

Review claims for authorization, eligibility, clean claim submission, and reimbursement accuracy.

Monitor claim status through clearinghouses and payer portals and resolve claim edits or holds.

Interpret insurance benefits and payer contracts to support reimbursement and col...