Specialist-Com Billing PB
Overview:
FULL-TIME REMOTE COMMERCIAL BILLING SPECIALIST
MUST HAVE STRONG COMMERCIAL BILLING SPECIALIST EXP
At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school.
With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.
Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.
Why Powerback?- Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.
- Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
- Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.
- Continuing Education: Keep growing with free CEUs through Medbridge.
- H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.
- Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.
Responsibilities:
The Commercial Billing Specialist is responsible for managing and resolving commercial insurance claims throughout the revenue cycle process to ensure timely and accurate reimbursement. This role works directly within the clearinghouse and billing systems to identify, research, correct, and follow up on rejected and denied claims.The Commercial Billing Specialist monitors outstanding accounts receivable, submits technical appeals, identifies root causes of denials, and collaborates with internal teams to improve claim acceptance and payment outcomes.
RESPONSIBILITIES/ACCOUNTABILITIES:
- Reviews and resolves rejected claims within the clearinghouse and practice management system.
- Monitors outstanding commercial insurance claims to ensure timely claim submission and reimbursement.
- Performs routine follow-up on unpaid and underpaid claims on a monthly basis or as required until resolution is achieved.
- Researches denied claims, determines root causes, and implements corrective actions to prevent recurring issues.
- Prepares and submits technical and timely filing of appeals for denied or rejected claims.
- Corrects claim errors related to demographics, authorization, eligibility, modifiers, or payer-specific requirements.
- Escalates recurring payer or process issues to leadership.
- Meets productivity, quality, and accounts receivable performance goals.
- Works collaboratively with coding, verification, authorization, and clinical teams to resolve billing issues and improve clean claim rates.
- Communicates with insurance carriers regarding claim status, payment discrepancies, denials, and appeals.
- Performs other duties as required.
Qualifications:
- A high school diploma or equivalent is required.
- One year of experience in an administrative healthcare setting is required.
- One year of experience in claims or billing is preferred
Posted Salary Range: USD $20.00 - USD $20.00 /Hr.