Billing specialist (s0035)

Job Details:

Job Location: Durango Integrated Healthcare - Durango, CO

Position Type: Full Time

Education Level: High School

Salary Range: $21.25 - $27.30 Hourly

Travel Percentage: Negligible

Job Shift: Day

Job Category: Health Care

Position Summary:

The role of the Billing Specialist is responsible for managing healthcare accounts receivable and ensuring the accurate and timely processing of billing, payments, and account adjustments. Key responsibilities include submitting and resolving claims, posting payments based on explanations of benefits (EOBs), researching and correcting billing discrepancies, and maintaining accurate patient account records. The role also involves handling inbound calls from patients to address billing inquiries, explain account balances, assist with payment-related concerns, and provide exceptional customer service. Additionally, the Billing Specialist identifies error trends, supports workflow improvements, and collaborates with internal teams to optimize revenue cycle processes. Success in this role requires strong attention to detail, problem-solving skills, effective communication, and a patient-focused approach.

Qualifications:

Our ideal candidate for our Billing Specialist position will have High School Diploma, Minimum of two to three years’ relevant experience in healthcare billing and collections. BA degree and Medical Coder Certification is preferred.

Salary:

Starting at $21.25 - $27.30 per hour (non-exempt - hourly) and considers preferred experience, preferred education, and regional locale pay as described above.

Benefits:

• Medical (HDHP or PPO)
• Long Term Disability
• 401k offering up to 4% match
• Short Term Disability
• Health Savings Account
• Dental
• Flexible Spending Account
• Vision
• Dependent Care Account
• Pet Insurance
• Life Insurance
• College Invest plans
• Annual Wellness Benefits
• Personal Days
• Loan Repayment Programs
• Company Paid Holidays
• 3 weeks of All Paid Leave (APL) for first 2 years with full-time employment.
• On-going training & educational opportunities for professional development are also available.

Working Conditions/Physical Demands:

Employees must occasionally lift and/or move 15 to 50 pounds. Employees are frequently required to walk, sit, stand, or kneel and occasionally required to climb or balance and stoop. Must have the ability to sit for long periods of time at a computer. Employees must be able to travel between Axis locations. Depending on the position, employees may also be expected to engage in occasional statewide and domestic travel. Working in a healthcare organization lends itself to the possibility of exposure to communicable disease. Noise level in the working environment is usually moderate. Annual Flu immunization by November 1, annual TB Screening, complete de-escalation training, and BLS certification, as required for position. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of their position.

Duties and Responsibilities:

• Effectively resolves issues related to the revenue cycle to maximize collections on all insurance and self-pay accounts.
• Identifies and reports error patterns while keeping within time restraints.
• Assists with workflow design to reduce billing errors, overpayments, underpayments and claims denials.
• Ensure timely and efficient billing of all claims submissions and appeals.
• Accurately enters adjustments in the system according to established guidelines.
• Displays effective follow-up on all accounts according to current collections policies.
• Manages accounts of receivable aging within established expectations.
• Provides information to other staff as needed to ensure consistency of the revenue cycle.
• Maintains knowledge of current reimbursement rules and regulations to ensure compliance with current billing and collection practices.
• Provides excellent customer service to patients.
• Works independently on assigned tasks.
• Participates in additional activities and project assignments, as necessary.

Knowledge, Skills and Abilities:

• Knowledge of patient health information privacy regulations, including HIPAA compliance requirements.
• Strong organizational skills with the ability to follow established policies, procedures, and guidelines accurately.
• Excellent interpersonal, verbal, and written communication skills, with a customer-focused approach.
• Ability to work independently, prioritize tasks, and demonstrate initiative in a fast-paced environment.
• Commitment to maintaining confidentiality and adhering to all organizational security and compliance standards.
• Experience handling patient billing inquiries and providing professional customer service over the phone is preferred.
• Working knowledge of medical billing and coding systems, including CPT, HCPCS, ICD, and DSM, with a strong understanding of the healthcare revenue cycle, including claims processing, payment posting, account reconciliation, collections, and reimbursement methodologies.
• Knowledge of Medicare, Medicaid, commercial insurance plans, and the ability to accurately interpret Explanation of Benefits (EOBs), process account adjustments, and manage insurance correspondence.
• Ability to identify, investigate, and resolve billing errors, claim denials, account discrepancies, credits, refunds, and outstanding patient balances while maintaining appropriate supporting documentation.
• Experience providing professional customer service through inbound and outbound calls, written correspondence, and other communications related to patient accounts, billing inquiries, collections, and payment arrangements.
• Strong analytical, problem-solving, mathematical, and financial reconciliation skills with the ability to exercise sound judgment and make ethical decisions.
• Proficiency with Electronic Health Records (EHR) systems, Microsoft Office applications (particularly Excel, Word, and Outlook), internet-based applications, and standard office equipment.
• Excellent organizational skills with the ability to manage a high-volume workload, prioritize tasks effectively, and maintain accuracy and attention to detail in a fast-paced environment.
• Strong interpersonal and communication skills with the ability to interact professionally and effectively with patients, staff, vendors, insurance representatives, and other stakeholders.
• Demonstrate commitment to maintaining confidentiality, privacy, and security of patient and organizational information in accordance with applicable regulations and organizational policies.
• Flexibility to work additional hours, travel occasionally (if applicable), and assume additional responsibilities as needed to support departmental and organizational objectives.
• Valid driver's license with an insurable driving record in accordance with organizational requirements.

About our Axis Health System:

We are the leading provider of behavioral health and integrated (primary, dental, and behavioral health) care on the Western Slope of Colorado. We have recovery groups, Medication Assisted Treatment (MAT), specialized mental health outpatient programs, primary care, diabetes education, crisis services, resource navigators, insurance enrollment specialists, tele-video systems to access our locations across the region and more. We work to make sure you have what you need at your fingertips to be successful in your position and support your patient in their road to recovery. Please visit our website at Axis Health System, to apply for this position and for more information about our organization. All qualified applicants will receive consideration for employment, transfer, or promotion opportunities.

About Durango/Pagosa Springs:

If you’re interested in Rocky Mountain wildlife, white water rafting, hiking in to discover nature’s most beautiful waterfalls, or a breathtaking car ride on the San Juan Skyway, then Durango and Pagosa Springs are the place for you! As with so many areas on the Western Slope, you have now entered an outdoor enthusiast’s paradise. Just minutes from zip lining through the treetops, to soaking in the Piedra River Hot Springs, located in the national forest, after a day of hiking any one of the many trails, and when the season is right, you can be snowboarding or camping in the mountains that surround this beautiful area. Take a ride on the historic Durango & Silverton Narrow Gauge Railroad Train and enjoy the stunning views of the San Juan National Forest. You’re also a mere 35-minute car ride to Mesa Verde National Park. Just outside the doors of our clinics, you’ll find beautiful parks with walking paths and opens spaces to enjoy. Durango has an airport located minutes from our clinics which has service to Denver, Phoenix and Dallas-Fort Worth daily.