Astrana Health, Inc.
Billing Specialist - Payment Poster
Department:
Billing Employment Type:
Full Time Location:
8880 W Sunset Rd, Suite 320, Las Vegas NV 89148 Reporting To:
Revenue Cycle Manager Compensation:
$20.00 - $23.00 / hour We are seeking a highly organized and detail-oriented Billing Specialist to support accurate and efficient revenue cycle operations. This role plays a key part in ensuring timely claim submission, follow-up, and reimbursement across multiple payers. The ideal candidate has experience in both fee-for-service and value-based care billing environments, understands risk-adjusted payment models, and is committed to compliance, accuracy, and process improvement. What You'll Do
Prepare, review, and submit clean medical claims for primary and secondary payers, including Medicare Advantage, Medicaid Managed Care, and commercial insurers. Verify patient insurance coverage and eligibility prior to billing. Post payments and adjustments accurately to patient accounts. Monitor and follow up on unpaid claims, rejections, and denials in accordance with payer guidelines. Research and resolve billing discrepancies, coordinate with clinical and administrative teams as needed. Assist in coding validation and documentation review to support accurate claims submission. Maintain a strong understanding of payer policies, VBC metrics, RAF/HCC coding relevance, and risk adjustment impacts on reimbursement. Support audits, data clean-up initiatives, and quality reporting related to billing. Communicate effectively with insurance carriers, patients, and internal departments to resolve billing issues. Ensure compliance with HIPAA and all regulatory requirements. Qualifications
High school diploma or equivalent required; associate degree or billing certification (e.g., CPB, CMRS) preferred. 2+ years of medical billing experience in a multi-specialty or primary care setting. Experience with Medicare Advantage, HMO, PPO, and/or value-based payment models strongly preferred. Familiarity with EMR and billing software (e.g., eClinicalWorks). Working knowledge of CPT, ICD-10, HCPCS, and modifier usage. Strong attention to detail, organizational skills, and follow-through. Excellent communication and teamwork skills. Environmental Job Requirements and Working Conditions
Our organization follows an in-person work structure where the expectation is to work onsite 2-3x a week. This position will report to our corporate office at 8880 W Sunset Rd, Suite 320, Las Vegas, NV 89148. The total pay range for this role is: $20-23 per hour. This salary range represents our national target range for this role.
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Department:
Billing Employment Type:
Full Time Location:
8880 W Sunset Rd, Suite 320, Las Vegas NV 89148 Reporting To:
Revenue Cycle Manager Compensation:
$20.00 - $23.00 / hour We are seeking a highly organized and detail-oriented Billing Specialist to support accurate and efficient revenue cycle operations. This role plays a key part in ensuring timely claim submission, follow-up, and reimbursement across multiple payers. The ideal candidate has experience in both fee-for-service and value-based care billing environments, understands risk-adjusted payment models, and is committed to compliance, accuracy, and process improvement. What You'll Do
Prepare, review, and submit clean medical claims for primary and secondary payers, including Medicare Advantage, Medicaid Managed Care, and commercial insurers. Verify patient insurance coverage and eligibility prior to billing. Post payments and adjustments accurately to patient accounts. Monitor and follow up on unpaid claims, rejections, and denials in accordance with payer guidelines. Research and resolve billing discrepancies, coordinate with clinical and administrative teams as needed. Assist in coding validation and documentation review to support accurate claims submission. Maintain a strong understanding of payer policies, VBC metrics, RAF/HCC coding relevance, and risk adjustment impacts on reimbursement. Support audits, data clean-up initiatives, and quality reporting related to billing. Communicate effectively with insurance carriers, patients, and internal departments to resolve billing issues. Ensure compliance with HIPAA and all regulatory requirements. Qualifications
High school diploma or equivalent required; associate degree or billing certification (e.g., CPB, CMRS) preferred. 2+ years of medical billing experience in a multi-specialty or primary care setting. Experience with Medicare Advantage, HMO, PPO, and/or value-based payment models strongly preferred. Familiarity with EMR and billing software (e.g., eClinicalWorks). Working knowledge of CPT, ICD-10, HCPCS, and modifier usage. Strong attention to detail, organizational skills, and follow-through. Excellent communication and teamwork skills. Environmental Job Requirements and Working Conditions
Our organization follows an in-person work structure where the expectation is to work onsite 2-3x a week. This position will report to our corporate office at 8880 W Sunset Rd, Suite 320, Las Vegas, NV 89148. The total pay range for this role is: $20-23 per hour. This salary range represents our national target range for this role.
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