Billing Specialist (On-Site)
HR HealthCare
Summary
We are seeking a detail-oriented and dependable Billing Specialist to join our team. This entry-level position supports the day-to-day billing operations by processing claims accurately and efficiently, maintaining billing information, and helping ensure claims are submitted in accordance with insurance payer requirements.
Job description
Duties & Responsibilities
Claims Processing
- Process 50–90+ claims daily with a focus on accuracy.
- Review and verify billing codes (HCPCS), diagnostic information, and span dates for compliance.
- Submit claims to insurance agencies, Medicare/Medicaid, and other payers.
Insurance Verification
- Conduct eligibility checks using systems like Brightree and Availity.
- Ensure patient insurance information is up to date and communicate coverage details (deductibles, coinsurance) to relevant teams.
Dispute Resolution
- Handle disputes, appeals, and follow-up tasks for denied or pending claims.
- Address phone inquiries related to billing issues.
Data Management
- Maintain accurate records of claims and patient billing information.
- Update patient accounts and billing systems as needed.
Collaboration
- Work closely with the Customer Experience Team and management to resolve billing discrepancies.
- Support office operations as needed (e.g., shipping confirmations, Sales Order reviews).
Requirements
- High School Diploma
- 0–2 years in a healthcare office or administrative setting
- Proficiency in Microsoft Office and data entry
- Strong communication, organizational skills, and teamwork
- Familiarity with Brightree, Availity, or similar billing software
- Knowledge of CMS 1500
Company overview
HR HealthCare is a professionally managed, family-owned medical device company headquartered in York, Pennsylvania, specializing in the development, manufacture, and supply of healthcare products with integrated technology and support services. The company operates a 100,000 square foot state-of-the-art cGMP compliant, ISO and MDSAP certified manufacturing facility in York, PA, offering comprehensive contract manufacturing capabilities for liquids, gels, lotions, creams, and ointments. HR HealthCare's product portfolio spans multiple healthcare segments including general medical lubricants, urological solutions, wound care products, and ultrasound gels. Key brands include HR® Lubricating Jelly, Surgilube® Sterile Surgical Lubricant, EcoVue® Ultrasound Gel, TruCath® Intermittent and Indwelling Catheters, and Renovar™ Advanced Skin and Wound Solution. The company serves both healthcare professionals and patients through its integrated technology platforms and patient support services, with a mission focused on positively impacting people's lives throughout the care continuum.