Billing Specialist - Mom and Baby

Aeroflow Health – Billing Specialist - Mom and Baby Job Type: Full Time/Remote Schedule: Monday to Friday, 8-5 (EST) Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000’s list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We’re working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients. The Opportunity A Billing Specialist plays a key role in ensuring the financial health of our Mom and Baby Division, which specializes in providing maternity-related medical equipment billed through insurance. This position focuses on identifying and resolving unpaid or denied insurance claims, ensuring timely reimbursement, and contributing to the continuous improvement of billing and collections processes. As a Billing Specialist, you will analyze claim denials, correct billing errors, and work directly with insurance providers to secure payment. This position requires strong attention to detail, a proactive problem-solving mindset, and a commitment to delivering accurate and efficient billing services. Your Primary Responsibilities

• Perform detailed analysis of denied or unpaid insurance claims to determine root causes and corrective actions.
• Follow up on unpaid claims; correct and resubmit as necessary to ensure timely reimbursement.
• Monitor and interpret reports to identify patterns, trends, and opportunities for process improvement.
• Collaborate effectively with insurance carriers, patients, and internal departments to resolve billing discrepancies and ensure accurate claim resolution.
• Maintain a comprehensive understanding of current billing regulations, payer policies, and reimbursement policies.
• 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
• Performs other job duties as required

Skills for Success

• 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.
• Confidently 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.

Required Qualifications

• High school diploma or GED
• Excellent written and verbal communication skills
• Proficient computer and data entry skills (Excel, Google Workspace, etc.)
• Strong analytical, problem-solving, and organizational skills with meticulous attention to detail
• Ability to work independently, prioritize effectively, and meet deadlines in a fast-paced environment
• Proficient in health insurance, as it pertains to billing and reimbursement
• Exposure to DME documentation, modifiers, and HCPCS coding Familiarity with Medicare, Medicaid, and commercial payers

What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

• Family Forward Certified
• Great Place to Work Certified
• 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award

If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. Apply tot his job Apply To this Job