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Healthcare Outcomes Performance Co. (HOPCo)

Site Billing Specialist – CPC, CCS, RHIT, RHIA Certification

Healthcare Outcomes Performance Co. (HOPCo)

Site Billing Specialist in a physician managed company improving patient care in orthopedic medicine. Focused on billing accuracy and managing insurance processes.

Posted 6/26/2026full-timeRemote • Arizona • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact
  • Maintains productivity and accuracy metrics per department expectation and AEIOU Behavioral Standards.
  • Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
  • Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
  • Updates and confirms as necessary to allow processing of claims to insurance plans.
  • Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.
  • Attaches referrals/authorizations to appointments/charges if available.
  • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
  • Makes and receives calls to/from patients to collect on self-pay balances and any other outstanding balance.
  • Councils patients face to face when patients have questions or concerns regarding outstanding balances.
  • Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines.
  • Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
  • Identifies and communicates trends and/or potential issues to management team.
  • Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Business Office.
  • Other duties as assigned by leadership.

Requirements

What you’ll need
  • High school diploma/GED or equivalent working knowledge preferred.
  • Minimum two to three years of billing experience in a physician practice.
  • Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers.
  • Prefer prior coding experience with CPC, CCS, RHIT or RHIA Certification.
  • Knowledge of government provisions and billing guidelines.
  • Advanced computer knowledge, including Window based programs.

Benefits

Comp & perks
  • Normal office environment

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
billingcodingdata abstractionclaims processinginsurance denial managementmedical record reviewreimbursementaccount balance resolutiontrend identificationproblem-solving
Soft Skills
communicationinterpersonal skillscustomer relationship managementteam collaborationpatient counselingresourcefulnessadaptabilityattention to detailtime managementleadership
Certifications
CPCCCSRHITRHIA