Billing Specialist

2 weeks ago


Sandy Springs, United States Pivotal Med Supply Full time

Work Location: Sandy Springs, GA

On-Site/Hybrid/Remote: Full-time onsite.


Company Overview: Pivotal Med Supply, LLC specializes in DME technology and RCM management which drives efficiencies in the wound care supply chain. Pivotal Med Supply’s mission is to improve patient’s quality of care through optimal products, treatments, and education.


Job Description: The Pivotal Med Supply, LLC Billing and Collections Specialist will be an integral part of the corporate team and will report to the Director of RCM. This role will largely be responsible for insurance billing, collections, appeals, and follow-up. This candidate will need to be adept in working in a fast-paced and growing organization.


Key Responsibilities:

• Build and submit claims via billing software

• Call on claims’ status and payment or denial information.

• Pull EOBs as needed and post payments.

• Resubmit corrected claims.

• Work appeals.

• Refer complex issues to the supervisor for review and or action.

• Adhere to contractual requirements of Medicare, Medicaid, and managed care plans

• Ensure a continuous quality improvement customer service approach by proactively identifying areas of improvement and communicating those ideas to the healthcare team.

• Maintains and promotes positive and professional working relationships with associates and management.

• Perform other insurance collections tasks, projects, & related duties, as assigned


Required Qualifications

• 4+ years of DME specific billing and AR management experience

• Billing Certification through AMBA or Coding Certification through AAPC

• Knowledge of medical policy requirements and guidelines

• Medical collections experience

• Adept at handling sensitive and confidential situations

• Strong knowledge of Microsoft Word, Excel and Outlook

• Understanding of medical terminology and CPT, HCPC and ICD10 coding preferred

• Excellent communication skills, both written and verbal

• Proficient technical (computer) skills

• Ability to multi-task and prioritize

• Self-motivated with initiative


Benefits:

Competitive salary and comprehensive benefits package.

• Opportunities for professional growth and development within a leading healthcare startup.



  • Tarpon Springs, Florida, United States P.M. Medical Billing Full time

    Job DescriptionWe are a leading national medical billing company specializing in ophthalmology, providing expert knowledge and service to clients across the country.We are seeking a highly skilled and experienced medical billing specialist to join our team. As a medical billing specialist, you will be responsible for accurately and efficiently processing...


  • Sandy Springs, United States Family Practice Center, PC Full time

    Job SummaryFamily Practice Center, PC is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for performing various functions related to the accurate and timely charge capture and billing of patient medical procedures, office visits, and services.The ideal candidate will have a strong...


  • Sandy Springs, United States Pivotal Med Supply Full time

    Job Title: Billing SpecialistAt Pivotal Med Supply, LLC, we are seeking a highly skilled Billing Specialist to join our corporate team. As a key member of our revenue cycle team, you will be responsible for ensuring timely and accurate billing and collections for our patients.Key Responsibilities:Build and submit claims via our billing softwareCall on...


  • Sandy Springs, United States Pivotal Med Supply Full time

    Pivotal Med Supply, LLC Job DescriptionJob Title: Billing and Collections SpecialistJob Summary: We are seeking a highly skilled Billing and Collections Specialist to join our team at Pivotal Med Supply, LLC. The successful candidate will be responsible for managing the billing and collections process, ensuring timely and accurate payment of medical...


  • Sandy, United States Threshold Billing Solutions Full time

    Job Title: Behavioral Health Claims SpecialistThreshold Billing Solutions is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will play a crucial role in analyzing and following up on behavioral health claims to ensure timely and appropriate reimbursement.Key Responsibilities:Claims Management: Handle the submission, status...

  • Billing Specialist

    2 weeks ago


    Sandy Springs, United States Pivotal Med Supply Full time

    Work Location: Sandy Springs, GAOn-Site/Hybrid/Remote: Full-time onsite.Company Overview: Pivotal Med Supply, LLC specializes in DME technology and RCM management which drives efficiencies in the wound care supply chain. Pivotal Med Supply’s mission is to improve patient’s quality of care through optimal products, treatments, and education.Job...

  • Billing Specialist

    3 days ago


    Sandy Springs, United States Pivotal Med Supply Full time

    Work Location: Sandy Springs, GAOn-Site/Hybrid/Remote: Full-time onsite.Company Overview: Pivotal Med Supply, LLC specializes in DME technology and RCM management which drives efficiencies in the wound care supply chain. Pivotal Med Supply’s mission is to improve patient’s quality of care through optimal products, treatments, and education.Job...


  • Sandy, United States Threshold Billing Solutions Full time

    Job Title: Behavioral Health Claims SpecialistThreshold Billing Solutions is seeking a skilled Claims Specialist to join our team. As a key member of our Claims and Verification of Benefits team, you will play a crucial role in analyzing and following up on behavioral health claims to ensure timely and accurate reimbursement.Key Responsibilities:Claims...


  • Sandy, United States Threshold Billing Solutions Full time

    Job DescriptionThreshold Billing Solutions is seeking a detail-oriented Claims Specialist to join our Claims and Verification of Benefits team.This role is crucial in analyzing and following up on behavioral health claims to ensure timely and appropriate reimbursement.As a Claims Specialist, you will serve as an advocate for behavioral health facilities,...


  • Tarpon Springs, Florida, United States P.M. Medical Billing Full time

    Job OpportunityP.M. Medical Billing Corp is a leading provider of full-service ophthalmology billing solutions. With over 20 years of experience, our team of certified ophthalmology technicians and coders delivers exceptional results, increasing revenue and reducing denial rates for our clients.Key ResponsibilitiesProvide accurate and timely medical billing...


  • Sandy, United States Suncrest Home Health & Hospice Full time

    At Suncrest Home Health & Hospice, we're seeking a skilled Medicare Billing Specialist to join our team. As a key member of our staff, you'll be responsible for ensuring accurate and timely submission of Medicare claims, as well as resolving any issues that may arise.Key responsibilities include:Submitting Notices of Election, Notices of Transfer/Revocation,...


  • Sandy, United States Suncrest Home Health & Hospice Full time

    About Suncrest Home Health & HospiceAt Suncrest Home Health & Hospice, we strive to redefine the standard of hospice care in our community by delivering exceptional service and care to our patients.Job SummaryWe are seeking an experienced Medicare Billing Specialist to join our team. The ideal candidate will have a strong understanding of Medicare billing...


  • Sandy Springs, United States Family Practice Center, PC Full time

    Job TitleFamily Practice Center, PC is seeking a Medical Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and a passion for delivering exceptional patient care.ResponsibilitiesReview and transmit claims using billing softwareResearch and resolve claim denialsFollow up on unpaid claimsAnswer patient...


  • Sandy, United States Omega Ventures Full time

    Civil Engineering Project Billing SpecialistAt Omega Ventures, we are seeking an experienced Civil Engineering Project Billing Specialist to join our team in Memmingen. As a key member of our construction team, you will be responsible for the billing of complex civil engineering projects.Key Responsibilities:Manage and coordinate the billing process for...

  • Billing Specialist

    2 weeks ago


    Colorado Springs, Colorado, United States Adventure Learning Behavioral Interventions Full time

    Billing Specialist Job DescriptionAdventure Learning Behavioral Interventions is seeking a skilled Billing Specialist to join our team. The ideal candidate will have a strong background in financial operations and a proven track record of optimizing reimbursement processes.Key Responsibilities:Manage contracts and credentials in Code MetroProcess benefit...


  • Homosassa Springs, Florida, United States PedIM Healthcare Full time

    {"title": "Medical Billing Specialist", "description": "About UsPedIM Healthcare is a leading provider of high-quality healthcare services in Lecanto, Florida. We are seeking a detail-oriented and experienced Medical Billing Specialist to support our team.ResponsibilitiesReview and process medical claims for accuracy and completeness.Verify patient billing...


  • Colorado Springs, Colorado, United States MBI Acquisition Corp Full time

    Job Title: Medical Billing SpecialistWe are seeking a highly skilled Medical Billing Specialist to join our team at MBI Acquisition Corp. As a Medical Billing Specialist, you will play a critical role in ensuring timely and accurate claims submission to insurance companies.Responsibilities:Utilize coded data to produce and submit claims to insurance...


  • Colorado Springs, Colorado, United States El Paso County, CO Full time

    Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at El Paso County, CO. As a Medical Billing Specialist, you will be responsible for processing and managing medical claims, ensuring accurate and timely payment of services. You will work closely with healthcare providers, insurance companies, and patients to resolve...

  • Billing Specialist

    3 weeks ago


    Colorado Springs, Colorado, United States Adventure Learning Behavioral Interventions Full time

    Job OverviewAdventure Learning Behavioral Interventions is seeking a skilled Billing Specialist to optimize reimbursement processes and maintain compliance with industry regulations.Key ResponsibilitiesManage contracts in Code Metro and ensure seamless financial processesCredentialing and benefit checksGathering documentation for authorizations and tracking...


  • Bonita Springs, Florida, United States Discovery Senior Living Full time

    Job Title: Billing SpecialistAt Discovery Senior Living, we are seeking a skilled Billing Specialist to join our home office team in Bonita Springs, FL.Job Summary:This position will be responsible for processing resident billing for Discovery Senior Living managed communities. The successful candidate will be responsible for generating resident billing in a...