Billing Specialist - Sleep
Aeroflow
- Asheville, NC
- $20.00-24.00 per hour
- Permanent
- Full-time
- Customer Service Representatives – Frontline support for patient communication
- Insurance Specialists – Claim submission, tracking, and reimbursement management
- Prior Authorization Team – Securing approvals to ensure access to necessary equipment
- Analyzes denied insurance claims by identifying root causes & implementing resolution strategies
- Monitor and analyze billing reports to identify trends and provide insights to leadership
- Collaborate with insurance companies to ensure timely claim adjudication and payment
- Respond to patient billing inquiries with professionalism via phone and email
- Clearly explain explanation of benefits (EOBs) and coverage details to patients
- Verify and manage medical documentation to meet payer-specific requirements
- Stay up-to-date on payer policies and regulatory changes to maintain compliance
- Utilize multiple systems to manage tasks and enhance workflow efficiency
- Collaborates with internal team members as well as external
- Maintain strict patient confidentiality in compliance with HIPAA regulations
- Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
- Compliance is a condition of employment and is considered an element of job performance.
- Maintain HIPAA/patient confidentiality
- Perform other related duties as assigned
- Relentless Curiosity: Proactively seeks out opportunities for process improvements.
- Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks.
- Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement.
- Confidentially Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback.
- Strategic: Makes decisions and takes actions with a broader organizational impact.
- Transformative: Constantly seeks ways to improve and actively pursues growth opportunities.
- Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team.
- Commitment to People Development: Shows passion for developing talent through regular training and mentoring.
- Relationship Focused: Proactively builds relationships across the organization.
- Claims Resolution Expertise: Proven ability to analyze denied insurance claims, identify root causes, and take corrective actions to ensure payment
- Analytical Skills: Experience monitoring billing reports, recognizing trends or recurring issues, and providing actionable insights to leadership or team leads
- Payer Communication Experience: Demonstrated success working directly with insurance companies to follow up on claims, submit documentation, and expedite adjudication and reimbursement
- At least 1–2 years of experience in medical billing, insurance claims, or revenue cycle management
- Prior exposure to Medicare, Medicaid, or commercial payer guidelines
- Proficiency with Microsoft Office Suite, Google Workspace, and medical billing systems
- Strong written and verbal communication skills
- Ability to multitask, prioritize, and adapt in a dynamic environment
- Analytical thinking and problem-solving mindset
- Self-motivated with a positive attitude and willingness to learn
- High level of professionalism and discretion
- Experience with CPAP billing, DME billing, or sleep therapy
- Family Forward Certified
- Great Place to Work Certified
- 5000 Best Place to Work award winner
- HME Excellence Award
- Sky High Growth Award