Billing and Coding Specialist

CaringEdgeHybridFull-timeMid level, 2–5 yearsListed 2 weeks ago

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About this role

We are looking for a detail-oriented Billing & Coding Specialist to join our growing team. This position plays a key role in supporting accurate revenue cycle processes and ensuring timely reimbursement for healthcare & therapy services.

You would be responsible for accurate claim submission, coding review, payment posting, denial follow-up, and insurance communication related to services provided. This role works closely with clinical teams, front office staff, and leadership to ensure clean claims and strong financial performance.

Responsibilities:

- Review documentation for billing accuracy and completeness

- Submit insurance claims in a timely manner

- Post payments and reconcile accounts

- Investigate and resolve denied or rejected claims

- Communicate with insurance companies regarding authorizations, eligibility, and claim status

- Work patient accounts including balances, adjustments, and follow-up

- Ensure compliance with payer requirements and coding guidelines

- Support productivity and revenue cycle reporting needs

- Collaborate with clinic teams to improve billing workflows

What you will need:

- Experience in medical billing and/or coding

- Knowledge of CPT & ICD-10, as well as healthcare and therapy billing processes

- Outpatient therapy, home health, and/or hospice experience, preferred

- Strong attention to detail and organizational skills

- Ability to manage multiple priorities and meet deadlines

- Excellent communication and teamwork skills

What we offer:

- Health, vision, dental, HSAs, & FSAs

- 401(k) plan with employer contribution

- Paid time off that begins accruing on day one

- Hybrid work model

Offers of employment are contingent upon passing a background check and drug screen