Billing Specialist

2 days ago

Los Angeles, California, United States Performance Optimal Health Full time

Join Performance Optimal Health, a leading wellness organization that takes a holistic approach to health through the Four Pillars of Optimal Health – Exercise, Nutrition, Recovery, and Stress Management. We empower clients to live better lives through exceptional care, service, and teamwork.

We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This role combines all aspects of billing, insurance verification, authorizations, and accounts receivable follow-up. The ideal candidate is detail-oriented, organized, and thrives in a collaborative environment.

Responsibilities

  • Review and process patient claims and invoices accurately and in a timely manner.
  • Verify insurance eligibility and benefits; obtain and track authorizations/pre-certifications as required by payers.
  • Resolve billing issues, denials, and underpayments by following up with insurance companies, patients, and internal staff.
  • Prepare and send appeals when claims are denied or underpaid.
  • Maintain complete and accurate patient records, including demographic, insurance, and authorization information.
  • Post payments and adjustments; monitor accounts receivable and ensure balances are collected efficiently.
  • Communicate coverage details, patient responsibilities, and financial agreements clearly with patients.
  • Protect patient confidentiality and comply with HIPAA regulations.
  • Collaborate with the billing, clinical, and front desk teams to ensure seamless revenue cycle operations.
  • Attend training sessions, webinars, and team meetings as required.

Requirements

  • High school diploma or equivalent (Associate degree preferred).
  • 2+ years of experience in medical billing, AR, or insurance verification.
  • Working knowledge of CPT, ICD-10, and HCPCS codes and insurance reimbursement processes.
  • Proficiency in billing software, EMR systems, and Microsoft Office (Excel required); Prompt EMR experience is a plus.
  • Strong communication, organizational, and analytical skills.
  • Ability to handle confidential information with professionalism and integrity.
  • High attention to detail and accuracy in data entry and documentation.

Benefits

  • Competitive pay based on experience
  • Medical, Dental, and Vision Insurance
  • 401K with company match
  • Access to all Performance Optimal Health facilities
  • Internal and external discounts
  • Mentorship and growth potential within the organization
  • Fun, collaborative atmosphere

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