Billing Specialist

Join Performance Optimal Health, a leading wellness organization that takes a holistic approach to health through the Four Pillars of Optimal Health – Exercise, Nutrition, Recovery, and Stress Management. We empower clients to live better lives through exceptional care, service, and teamwork.

We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This role combines all aspects of billing, insurance verification, authorizations, and accounts receivable follow-up. The ideal candidate is detail-oriented, organized, and thrives in a collaborative environment.

Responsibilities

• Review and process patient claims and invoices accurately and in a timely manner.
• Verify insurance eligibility and benefits; obtain and track authorizations/pre-certifications as required by payers.
• Resolve billing issues, denials, and underpayments by following up with insurance companies, patients, and internal staff.
• Prepare and send appeals when claims are denied or underpaid.
• Maintain complete and accurate patient records, including demographic, insurance, and authorization information.
• Post payments and adjustments; monitor accounts receivable and ensure balances are collected efficiently.
• Communicate coverage details, patient responsibilities, and financial agreements clearly with patients.
• Protect patient confidentiality and comply with HIPAA regulations.
• Collaborate with the billing, clinical, and front desk teams to ensure seamless revenue cycle operations.
• Attend training sessions, webinars, and team meetings as required.

Requirements

• High school diploma or equivalent (Associate degree preferred).
• 2+ years of experience in medical billing, AR, or insurance verification.
• Working knowledge of CPT, ICD-10, and HCPCS codes and insurance reimbursement processes.
• Proficiency in billing software, EMR systems, and Microsoft Office (Excel required); Prompt EMR experience is a plus.
• Strong communication, organizational, and analytical skills.
• Ability to handle confidential information with professionalism and integrity.
• High attention to detail and accuracy in data entry and documentation.

Benefits

• Competitive pay based on experience
• Medical, Dental, and Vision Insurance
• 401K with company match
• Access to all Performance Optimal Health facilities
• Internal and external discounts
• Mentorship and growth potential within the organization
• Fun, collaborative atmosphere