Bloom Healthcare · 19 hours ago
Healthcare Billing Specialist
United States
Full-time
Remote
Mid Level
$21/hr - $23/hrBloom Healthcare is a pioneering and employee-owned primary care and hospice practice focused on transforming healthcare delivery for vulnerable patients. The Billing Specialist will support the financial health of the company by overseeing claim submissions, resolving billing discrepancies, and ensuring compliance with regulatory guidelines.
Elder CareHealth CareHome Health CareNursing and Residential CarePrimary and Urgent CareWellness
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
Qualification
Required
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
Benefits
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.
Company
Bloom Healthcare
Bloom Healthcare provides primary and urgent care services through telehealth as well as a home treatment.
Founded in 2019
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Dr. Thomas Lally
Founder & CEO
Franke Elliott
Co-Founder, Chief Strategy Officer
Recent News
2025-06-03
2025-05-17
Company data provided by crunchbase