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Medical Billing Specialist

Medical Billing Specialist

Sentido HealthTomball, TX, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Join Sentido Health as a full-time, in-office Billing Specialist in Tomball, TX, and become an essential part of a team dedicated to excellence in patient care and operational accuracy. In this role, you will take ownership of the billing process – from ensuring precise coding and accurate claim submissions. If you’re detail-oriented, organized, and passionate about making an impact behind the scenes, this is your opportunity to grow your career with a supportive company that values precision, teamwork and professional development.

Why Sentido Health?

We value our employees and offer a competitive benefits package that includes :

  • 80 to 160 hours of PTO, based on tenure.
  • Quarterly bonuses based on company performance.
  • 401K Plan 100% matching at 4%, with a half match at 5%-6%
  • Comprehensive medical, dental, vision, life, accidental, and GAP insurance.
  • Free gym membership for full-time employees, or a stipend of $25 if the gym we provide membership with is not geographically available in your area.
  • Telehealth services.
  • Internal growth and developmental opportunities.

Salary Grade / Level / Family / Range

Full-Time, Non-Exempt, Hourly / $18.00 to $22.00.

JOB DESCRIPTION

Summary

Billing Specialists are responsible for submitting clean claims via electronic or paper submission for all services provided. Essential to this position is the ability to identify correct coding, authorization requirements are met and ensuring compliance with all payor guidelines.

Essential Functions

  • Prepare and submit accurate claims for all services of DME and supplies.
  • Verify patient demographics, insurance information, and billing codes for accuracy.
  • Confirm all sales orders for various rental and purchase items of DME and supplies by verifying all items and quantities, proof of delivery, ordering doctor, and diagnosis for accuracy.
  • Ensure all coverage limitations and validation rules are met prior to marking sales order complete and closed.
  • Ensure all tracking and proof of delivery is properly uploaded into Brightree for all sales orders confirmed.
  • Follow established billing processes and procedures.
  • Stay up to date on billing regulations and reimbursement guidelines.
  • Manage multiple tasks, prioritizing workload in an efficient manner.
  • Special Projects as assigned.
  • Preferred Education and Experience

  • Associates degree preferred.
  • Brightree experience is a plus.
  • 2 or more years of medical billing experience preferred.
  • DME Billing experience highly preferred.
  • Performance Metrics

  • All initial claims are filed within appropriate time limits set by payors.
  • All initial claims filed to correct payor with all appropriate additional payors associated to the invoice.
  • All pending orders followed up every 48 hours and reported to supervisor if unable to confirm after one week of shipment with continued follow-up until able to confirm.
  • All orders for the month were confirmed no later than the 5th business day of the following month.
  • Supervisory Responsibility

    No

    Work Environment

    In Office – 27905 Commercial Park Rd., Suite #240, Tomball, TX 77375

    P hysical Demands

    This role is in a professional office setting with moderate noise level. The position requires regular use of standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. The work environment is fast-paced and may involve frequent interruptions, shifting priorities, and regular interaction with patients, families, referral sources, and clinical staff. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the role.

    The position is primarily sedentary and requires the ability to sit for extended periods of time while performing computer-based tasks and telephone communications. The role involved frequent use of hands and fingers to operate computer keyboard, mouse, and other office equipment. The employee must be able to effectively communicate verbally and in writing. Occasional standing, walking, reaching, and light lifting (up to 10 pounds) may be required.

    Position Type / Expected Hours of Work

    This is a full-time position. Days and hours of work are Monday through Friday, 8 : 00 AM to 5 PM. Some after-hours may be required.

    Travel

    None

    Organizational Requirements

  • Experience recognizing the needs and concerns of individuals.
  • Effectively communicate orally and in writing
  • Ability to follow verbal and written instruction.
  • Professional telephone & email etiquette
  • Able to work in a fast-paced, self-directed environment.
  • Detail oriented with excellent time management skills.
  • Decision-making, problem resolution and creative thinking skills.
  • Responds well to multitasking while providing exceptional customer service, support, and responsiveness.
  • Should be honest, competitive, energetic, enthusiastic, professional, and systematic.
  • Other Duties

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

    Statements

    Sentido Health participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. Sentido is an Equal Opportunity Employer. We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. If you require reasonable accommodation to apply for this position, participate in the interview process, or perform essential job functions, please contact Human Resources.

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    Medical Billing Specialist • Tomball, TX, US

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