Billing Specialist

Summary

Confluent Health System Solutions, a member of the Confluent Health family of physical therapy and occupational therapy companies, is seeking an experienced Billing Specialist. The role manages medical billing and revenue cycle activities, including accounts receivable, insurance claims, denials, payer follow-up, patient communication, and timely collections.

Responsibilities

• Manage patient accounts throughout the medical billing and revenue cycle process, from account creation through claim submission and patient statements
• Follow up on denied, unpaid, and underpaid claims; research issues and resubmit or appeal claims as appropriate
• Monitor and work AR aging reports to ensure timely collections and reduce outstanding balances
• Communicate with insurance payers regarding claims, reimbursement, billing requirements, and account issues
• Verify insurance benefits and eligibility using payer portals and ensure information is accurate
• Communicate professionally with patients regarding balances, billing questions, and payment plans
• Collaborate with clinic staff, clinical teams, and referral sources to resolve billing and insurance issues
• Maintain knowledge of ICD-10, CPT, HCPCS, payer requirements, and HIPAA regulations
• Complete daily billing and AR tasks accurately and within established deadlines while maintaining patient confidentiality

Skills

• High School Diploma or GED required
• Minimum 2 years of hands-on medical billing, Accounts Receivable (AR), or healthcare revenue cycle experience required
• Experience with insurance claims, denials, AR aging, and payer follow-up
• Experience using insurance payer portals and/or EMR systems
• Working knowledge of ICD-10, CPT, and HCPCS
• High School Diploma or equivalent required
• Strong attention to detail, organization, communication, and problem-solving skills
• Proficiency with Microsoft Office and basic computer/data entry skills
• Ability to work independently, meet deadlines, and thrive in a fast-paced healthcare environment
• Medical Billing/Coding certification or relevant healthcare education preferred

Qualifications

Must Haves

• High School Diploma or GED required
• Minimum 2 years of hands-on medical billing, Accounts Receivable (AR), or healthcare revenue cycle experience required
• Experience with insurance claims, denials, AR aging, and payer follow-up
• Experience using insurance payer portals and/or EMR systems
• Working knowledge of ICD-10, CPT, and HCPCS
• High School Diploma or equivalent required
• Strong attention to detail, organization, communication, and problem-solving skills
• Proficiency with Microsoft Office and basic computer/data entry skills
• Ability to work independently, meet deadlines, and thrive in a fast-paced healthcare environment

Nice to Haves

• Medical Billing/Coding certification or relevant healthcare education preferred

Benefits

• Health, Dental, and Vision Insurance
• Paid Time Off
• Family Building and Parental Leave Benefits
• 401(k) with employer matching up to 4%
• Structured onboarding with a 30/60/90-day development plan and ongoing support from clinic leadership
• Clear growth pathways; many of our front desk team members have advanced into clinic management, operations, and leadership roles
• A collaborative team culture where no one is left on an island; you'll have access to leadership and a built-in buddy system across clinic locations
• This is a Full Time Remote Position