Billing & A/R Specialist
About The Position
OnPoint Medical Group is seeking an outstanding Billing & Accounts Receivable (A/R) Specialist to join our growing team. This is an excellent opportunity to become part of a physician-led organization committed to delivering high-quality, accessible, and affordable healthcare. This position is located on-site in the Highlands Ranch, CO corporate office. The Billing & A/R Specialist is responsible for supporting all aspects of the revenue cycle, including claims submission, payment review, denial follow-up, appeals, patient account support, and accounts receivable management. This role requires strong attention to detail, knowledge of medical billing processes, and the ability to communicate effectively with patients, providers, and insurance carriers.
Requirements
- High school diploma or equivalent
- Strong computer skills
- Minimum of 5 years of healthcare experience
- Minimum of 1 year of medical billing experience
Nice To Haves
- Some college coursework in medical administration, business, or accounting
- Bilingual skills
- Experience with electronic medical records (EMR), preferably Athenahealth Practice Management
- Certified biller and/or coder preferred
- Equivalent combination of 5+ years of billing, coding, or advanced insurance knowledge may be considered
Responsibilities
- Work directly with insurance companies, healthcare providers, and patients to ensure claims are processed accurately and paid in a timely manner.
- Submit clean claims or assist with claim submission as needed.
- Verify contractual payments and investigate payment discrepancies.
- Review, correct, and appeal unpaid or denied claims.
- Run and analyze A/R reports.
- Work unpostables, denials, and claim worklists in accordance with Athenahealth best practices.
- Respond to patient calls regarding billing questions and account statements.
- Review and resolve outstanding accounts receivable balances.
- Resolve a minimum of 37 claims per day from assigned claim worklists.
- Maintain accounts receivable balances at less than 180 days outstanding.
- Answer patient billing calls based on assigned phone responsibilities and minimize voicemail backlogs.
- Perform duties in accordance with the standard Billing Compliance and Billing Guidelines.
- Maintain and follow strict privacy, confidentiality, and safety standards.
- Comply with all applicable governmental and regulatory requirements, including: HIPAA OSHA PCI DSS
- Maintain a clean, organized, and professional work environment.
- Distribute faxes and related documents to billing department staff, as appropriate.
- Perform other administrative duties as assigned.
Benefits
- Health insurance plan options for you and your dependents
- Dental, and Vision, for you and your qualified dependents
- Company Paid life insurance
- Voluntary options for short-term disability, and long-term disability coverage
- AFLAC Plans
- FSA options
- Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
- Paid Time-Off earned
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees
