We are looking for a motivated and detail-oriented ONSITE ONLY Billing Specialist to join our growing team. This role is essential in ensuring the accuracy, efficiency, and timeliness of our medical billing operations. You will be responsible for managing the full lifecycle of claims—from charge entry to payment posting—while working closely with internal teams, patients, and insurance payers.
This is a highly visible role that requires strong communication skills, critical thinking, and the ability to manage multiple priorities in a fast-paced healthcare environment.
What You’ll DoBilling & Claims Management- Prepare, review, and submit accurate claims to commercial insurance payers (electronic and paper)
- Ensure proper use of ICD-10, CPT codes, and modifiers during charge entry
- Monitor claim status and proactively follow up on unpaid or delayed claims
- Identify and resolve claim rejections and denials in a timely manner
- Maintain detailed documentation of all billing activity and account updates
- Post payments, adjustments, and reconcile accounts receivable balances
- Investigate and resolve outstanding balances, focusing on claims over 60 days old
- Work with patients to set up payment plans and resolve billing inquiries
- Collaborate with payers and internal teams to resolve discrepancies
- Ensure all billing practices comply with HIPAA and applicable federal, state, and local regulations
- Maintain accuracy in billing records and internal controls
- Support internal and external audits by providing necessary documentation
- Stay up to date with payer rules and billing guidelines
- Communicate effectively with providers, clinic staff, and leadership regarding billing issues
- Partner with internal departments to ensure all billable services are captured
- Participate in team meetings, training sessions, and cross-functional initiatives
- Provide clear updates and accountability on assigned tasks and accounts
- Identify inefficiencies or recurring issues and recommend solutions
- Contribute to improving workflows, reducing turnaround times, and increasing accuracy
- Support implementation of new billing processes, tools, or systems
- Previous medical billing experience (required)
- Strong understanding of claims processing and denial management
- Excellent attention to detail and accuracy
- Ability to manage multiple tasks and meet deadlines
- Strong verbal and written communication skills
- Ability to work both independently and within a team
- Experience with commercial insurance payers
- Familiarity with billing software systems
- Knowledge of healthcare revenue cycle processes
- High School Diploma or GED required
- 1+ year of medical billing experience preferred (or equivalent combination of training and experience)
AI Note-Taking Disclosure: We may use an AI-assisted tool during this interview for note-taking and documentation purposes. AI is not used to make hiring decisions or independently evaluate or select candidates. All employment decisions are made by members of our hiring team based on the candidate’s qualifications, experience, and overall fit for the position.
Skills Required
- Previous medical billing experience
- Strong understanding of claims processing and denial management
- Knowledge of ICD-10 and CPT coding and use of modifiers
- Knowledge of HIPAA and billing compliance
- High School Diploma or GED
- Excellent attention to detail and accuracy
- Ability to manage multiple tasks and meet deadlines
- Strong verbal and written communication skills
- Ability to work independently and within a team
- 1+ year of medical billing experience
- Experience with commercial insurance payers
- Familiarity with billing software systems
- Knowledge of healthcare revenue cycle processes
What We Do
SynergenX Health is a specialized clinic dedicated to transforming men's and women's health through personalized hormone replacement therapy (HRT), including testosterone replacement therapy (TRT), and comprehensive weight management solutions. They utilize health information and technology to provide state-of-the-art care, aiming to help patients overcome hormone imbalances and achieve their wellness goals through customized treatment plans and supportive care.
