Medical Billing Specialist

This position is responsible for accurate claims processing, insurance follow-up, payment posting, denial resolution, and accounts receivable management while providing responsive service to client practices. The Medical Billing Specialist manages billing and reimbursement activities for healthcare provider clients.

Job Summary
The Medical Billing Specialist manages billing and reimbursement activities for healthcare provider clients. This position is responsible for accurate claims processing, insurance follow-up, payment posting, denial resolution, and accounts receivable management while providing responsive service to client practices.
Key Responsibilities

• Prepare, submit, and monitor insurance claims.
• Verify insurance eligibility and coverage as needed.
• Research and resolve rejected, denied, and unpaid claims.
• Process payment postings, adjustments, and account reconciliations.
• Manage insurance accounts receivable and follow up on outstanding balances.
• Review EOBs/ERAs and identify payment discrepancies.
• Communicate with insurance carriers and provider clients to resolve billing issues.
• Maintain accurate billing documentation and protect confidential patient information.
• Meet established productivity, accuracy, and timely filing standards.

Qualifications

• 2+ years of medical billing or healthcare revenue cycle experience preferred.
• Third-party billing company experience preferred.
• Knowledge of commercial insurance, Medicare, Medicaid, and medical billing processes.
• Familiarity with ICD-10, CPT, and HCPCS codes.
• Strong attention to detail, organization, communication, and problem-solving skills.
• Experience with billing systems, EHRs, payer portals, and Microsoft Office.
• Ability to manage multiple client accounts in a fast-paced environment.