Healthcare Billing Specialist

Job Title: Billing Specialist
Work Type: This is a Remote position (Work From Home within the following states: AL, CA, CO, DC, KS, MS, NE, NV, SD, TN, TX, VA, WA, WI)

Offices Location: 12600 W Colfax Ave Suite B-200, Lakewood, CO 80215

About Bloom: 
Bloom Healthcare is a pioneering and employee-owned primary care and hospice practice at the forefront of transforming healthcare delivery for vulnerable patients. We bring high-touch, innovative medicine to those living at home with chronic conditions. Bloom’s model of care is proven to provide exceptional care to the homebound population, and Bloom Healthcare has generated outstanding quality results in CMS Innovation Center models compared to our peers. 
 
At Bloom Healthcare, we believe in creating an environment that fosters growth, collaboration, and a shared sense of purpose. Bloom Healthcare has been voted the "Top Workplace" for six consecutive years. This honor reflects our unwavering commitment to our employees. By nurturing a work culture that puts our team first, we empower them to put our patients first.
 
By joining the Bloom Healthcare family, you're not only embarking on a rewarding career journey but also becoming a part of a community that genuinely cares about you. We thrive together, supporting one another, and making a significant impact in the lives of our patients. Become a part of our success story and experience firsthand why we're consistently voted the best place to work. 
 
Position Overview:
Billing A/R Specialist supports the financial health of the company by ensuring the fulfillment of targeted claim processing and revenue benchmarks. The candidate must have a strong background in physician billing as well as long term experience with communicating and working with payers and patients to resolve accounts and satisfy all inquiries.

Duties/Responsibilities:

• Oversee the submission of accurate and timely claims to payers, ensuring compliance with regulatory and contractual guidelines.
• Review and correct claim errors to minimize denials and rejections.
• Monitor claim status and follow up on unpaid or denied claims.
• Investigate discrepancies and coordinate with payers and internal teams to resolve issues.
• Prepare and submit appeals with supporting documentation as needed.
• Stay updated on state and federal billing regulations (e.g., Medicare, Medicaid, HIPAA).
• Ensure coding compliance (ICD-10, CPT, HCPCS) and proper documentation to support claims.
• Utilize electronic health record (EHR) and practice management systems for billing and collections.
• Implement process automation and technology to enhance efficiency and accuracy.
• Ensure data security and privacy compliance.

Required Skills:

• Proficiency in medical billing and coding (ICD-10, CPT, HCPCS).
• Strong understanding of insurance processes, claim submission, and reimbursement policies (Medicare, Medicaid, commercial payers).
• Knowledge of electronic health records (EHR), practice management systems, and billing software (e.g., Mindbody, Healthcloud, etc).
• Familiarity with HIPAA compliance and healthcare regulations.
• Experience with denial management and appeals.
• Ability to analyze accounts receivable (A/R) reports and identify trends in denials, payments, and outstanding claims.
• Strong investigative and problem-solving skills to resolve claim issues and payment discrepancies.
• Detail-oriented with a high level of accuracy in financial reconciliation and claim processing.
• Understanding of revenue cycle KPIs and financial performance metrics.
• Answering inbound dedicated billing line
• Proficiency in all Microsoft applications. i.e Word, Excel and Outlook
• Ability to operate computers and general office equipment (copier, fax, scanner) and multi line telephones
• Ability to work well with others in a positive manner at all times
• Support company goals and objectives
• Other duties assigned by management when requested.

Why Bloom?  

• Opportunities for professional growth. 
• Collaborative work environment with a passionate team making a difference in healthcare. 
• Comprehensive health, dental, and vision insurance including an employer-paid benefit plan. 
• 401(k) retirement plan. 
• Employer-paid basic life and AD&D insurance. 
• Generous PTO and paid holidays. 
• Annual continued education allowance.   

Bloom Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. 

The salary for this position is competitive and commensurate with experience. The pay range for this role in the state of Colorado typically falls between $21.00 - $23.00 hourly. Actual compensation may vary based on factors such as qualifications, experience, and location within the state. 

“Bloom’s mission is to empower our patients, their loved ones, and our community by bringing individualized, compassionate care home”