• Billing Specialist

    Performance Optimal Health (Stamford, CT)


    Join Performance Optimal Health, a leading wellness organization that takes a holistic approach to health through the Four Pillars of Optimal Health – Exercise, Nutrition, Recovery, and Stress Management. We empower clients to live better lives through exceptional care, service, and teamwork.

     

    We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This role combines all aspects of billing, insurance verification, authorizations, and accounts receivable follow-up. The ideal candidate is detail-oriented, organized, and thrives in a collaborative environment.

    Responsibilities

    + Review and process patient claims and invoices accurately and in a timely manner.

    + Verify insurance eligibility and benefits; obtain and track authorizations/pre-certifications as required by payers.

    + Resolve billing issues, denials, and underpayments by following up with insurance companies, patients, and internal staff.

    + Prepare and send appeals when claims are denied or underpaid.

    + Maintain complete and accurate patient records, including demographic, insurance, and authorization information.

    + Post payments and adjustments; monitor accounts receivable and ensure balances are collected efficiently.

    + Communicate coverage details, patient responsibilities, and financial agreements clearly with patients.

    + Protect patient confidentiality and comply with HIPAA regulations.

    + Collaborate with the billing, clinical, and front desk teams to ensure seamless revenue cycle operations.

    + Attend training sessions, webinars, and team meetings as required.

    Requirements

    + High school diploma or equivalent (Associate degree preferred).

    + 2+ years of experience in medical billing, AR, or insurance verification.

    + Working knowledge of CPT, ICD-10, and HCPCS codes and insurance reimbursement processes.

    + Proficiency in billing software, EMR systems, and Microsoft Office (Excel required); Prompt EMR experience is a plus.

    + Strong communication, organizational, and analytical skills.

    + Ability to handle confidential information with professionalism and integrity.

    + High attention to detail and accuracy in data entry and documentation.

     

    Benefits

     

    + Competitive pay based on experience

    + Medical, Dental, and Vision Insurance

    + 401K with company match

    + Access to all Performance Optimal Health facilities

    + Internal and external discounts

    + Mentorship and growth potential within the organization

    + Fun, collaborative atmosphere