Senior Insurance Billing Specialist

Insurance Billing Support Specialist II (Senior)

Job Summary
The Billing Support Specialist II (Senior) is an advanced role focused on ensuring the accuracy and efficiency of insurance billing processes. This role includes mentoring junior team members, enhancing departmental workflow, and handling complex billing tasks to ensure patient orders progress smoothly and meet compliance standards.

Key Responsibilities
In addition to the responsibilities listed for Billing Support Specialist I:

• Provide guidance and support to junior team members on work-related issues and departmental processes.
• Assist in monitoring team production and quality to ensure KPIs are met or exceeded.
• Actively identify and recommend solutions for process improvement opportunities.
• Analyze and report on departmental data, including daily, weekly, and monthly metrics.

Knowledge, Skills, and Abilities

• Advanced knowledge of Medicare, Medicaid, and Commercial Insurance.
• Proven ability to mentor and assist team members.
• Strong organizational and planning skills.
• Advanced conflict resolution and problem-solving skills.
• Ability to work independently and take on additional responsibilities with minimal supervision.

Qualifications

• High School diploma or equivalent (required).
• Some college or medical billing certificate (preferred).
• 2–4 years of experience with insurance billing, including Medicare, Medicaid, and Commercial Insurance (required).
• Experience with oxygen or HME billing (preferred).
• Beginner to intermediate proficiency with Microsoft Office, Oracle, Brightree, Salesforce (highly preferred).