Job Description

Medical Billing Specialist

Benefits:

• 401(k)
• 401(k) matching
• Competitive salary
• Health insurance

Key Responsibilities:

• Prepare, review, and submit medical claims (electronic and paper) to insurance companies and third-party payers.
• Verify insurance coverage, eligibility, and patient demographics prior to claim submission.
• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim denials.
• Identify, research, and resolve claim rejections or denials promptly.
• Conduct timely and professional follow-up with insurance companies and patients on unpaid or underpaid claims.
• Post payments, adjustments, and reconcile accounts accurately in the practice management system.
• Communicate with providers and clinical staff regarding missing or incomplete documentation impacting billing.
• Maintain knowledge of current CPT, ICD-10, and HCPCS codes, as well as payer policies and reimbursement guidelines.
• Generate aging reports and assist in collections efforts as needed.
• Ensure confidentiality and compliance with HIPAA regulations in all billing activities.

Qualifications:

• High school diploma or equivalent required; Associate's degree or certification in medical billing/coding preferred.
• 13 years of experience in medical billing, collections, or revenue cycle management.
• Strong understanding of medical terminology, coding systems, and insurance claim processes.
• Excellent attention to detail, problem-solving, and organizational skills.
• Effective communication and customer service skills.
• Proficiency with electronic health records (EHR) and billing software.

Compensation: $45,000.00 - $50,000.00 per year

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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