Billing Specialist

People Purpose: Beyond Competitive

It is no longer ok to just be competitive regarding how we treat our people in everything we do. Our leadership team believes wholeheartedly we need to be beyond competitive and cultivate a culture of proud, driven employees who are passionate about the work they do and where they do it. Our leadership strives to unleash unsurpassed potential in every team and individual employed and owns making that happen. Sincere, Simple, Smart.

What makes us Beyond Competitive:

6 weeks’ time off annually

Incentive plan

Flexible hybrid/remote work options

Full pay maternity, paternity, parental, short-term disability leaves

Employee driven recognition program

Access to hundreds of training opportunities

Company paid educational assistance

Well-being on demand

Perks at Work

Competitive health and welfare plans -HSA company contribution

401(k) company match

Great culture and people!

The Opportunity:

The Billing Specialist submits patient bills to the appropriate payers and follows up efficiently on open accounts in a timely and accurate manner. This role also ensures timely claim submission and follow-up, reconciles claims, and resolves issues to support appropriate adjudication. The Billing Specialist responds knowledgeably to a wide range of complex denial issues when working with insurance companies.

Job Outcomes You Must Get:

Follow Electromed mission and core values, while striving to achieve company goals

Understand and adhere to local State and Federal healthcare regulatory and compliance rules

Review billing files for appropriate modifiers, diagnosis codes, patient demographic information and insurance prior to submission

Utilize multiple electronic billing, medical retrieval systems, and payer websites to resolve insurance denials and patient issues

Communicate effectively with internal customers, including Reimbursement and Accounting Departments

Ensure claims are processed and followed up in a timely manner to meet accounts receivables aging and cash receipt goals

Review patient statements to ensure accuracy

Complete payment reconciliation according to contracted payer fee schedules

Work to achieve monthly team goals

Educate patients on complex billing situations

Accurately record information to internal systems

Complete other miscellaneous tasks as needed to help support the reimbursement team

Job Outcomes Requirements:

Two years post-secondary education or equivalent work experience

Experience with insurance billing/reimbursement, Durable Medical Equipment (DME) preferred

Experience with third-party and government payers

Proficiency in Microsoft Office programs: Outlook, Excel, Word

Experience with insurance claim software

Experience with professional claim submission preferred

High attention to detail and accuracy with the ability to handle multiple priorities

Self-starter, motivated

Ability to follow through professionally when working with various payers

Ability to work independently and as a contributing team member

Knowledge of insurance requirements and ability to evaluate medical justification to support appropriate reimbursement

Excellent written and verbal communication skills

Demonstrated exceptional customer service skills

Ability to prioritize and organize

Strong analytical and problem-solving skills

The compensation range for this position is $22.00 to $30.00 hourly with the final agreed upon rate to be based on individual experience, skills, and qualifications. Additional benefits include performance-based incentives, comprehensive health benefits, retirement savings options, paid time off, and opportunities for professional growth and development. Benefits eligibility and offerings may vary based on role and location.

Be You.

Our people celebrate diverse individuals, backgrounds, and thinking. As an equal opportunity

employer this is the absolute most important belief in cultivating our culture and growth together.

Core Values

Customer-Focused. Integrity. Resourceful. Collaborative. Results-Driven.

Electromed develops, manufactures, and markets innovative airway clearance devices that help

people around the world breathe better, stay healthier, and lead active and fulfilling lives.

Making Life’s important moments possible-one breath at a time.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Originally posted on Himalayas