Billing Specialist
Summary
Processes healthcare billing claims, posts payments, and resolves denials for therapy services while ensuring compliance with payer requirements and coding guidelines.
We are looking for a detail-oriented Billing 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, 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 outpatient physical, occupational, and/or speech therapy
- Knowledge of Medicare, Medicaid, commercial insurance, and payer-specific billing requirements
- Understanding of ICD-10 coding, claims submission, payment posting, denial management, and reimbursement processes
- Familiarity with outpatient therapy regulations and guidelines
- Strong attention to detail with excellent organizational and problem-solving skills
- Ability to manage multiple priorities, meet deadlines, and work independently
- Proficiency with electronic medical records (EMR) and billing software systems
- Excellent communication and teamwork skills with the ability to collaborate across clinical and administrative teams
What we offer:
- Health, vision, dental, HSAs, & FSAs
- 401(k) plan with employer contribution
- Paid time off that begins accruing on day one
- Work from home (Must be based out of North Dakota, South Dakota, Minnesota, Montana, Wyoming, or Idaho)
Offers of employment are contingent upon passing a background check and drug screen
ABOUT CARINGEDGE
CaringEdge is a division of Edgewood Healthcare providing home health, hospice, and outpatient therapy services in North Dakota, South Dakota, Minnesota, Montana, and Wyoming. To learn more about CaringEdge, visit .