Billing and Collections Specialist

Job description:

Billing & Collections Specialist

Are you a detail-driven billing professional who thrives in a fast-paced healthcare environment? Do you enjoy solving problems, working collaboratively, and making a real impact on patient care behind the scenes?

We are a stable, growing medical practice seeking a Billing & Collections Specialist to join our team. This is an excellent opportunity for someone who values teamwork, accountability, and continuous growth in a supportive environment.

OBGYN or medical billing experience is strongly preferred. Bilingual candidates are encouraged to apply.

What You’ll Do

Billing, Collections & Account Management

• Submit and manage insurance claims (electronic and paper) accurately and timely
• Post payments, process adjustments, and reconcile accounts
• Review and work aging reports to resolve outstanding balances
• Follow up on unpaid, underpaid, or denied claims
• Process appeals and perform reimbursement analysis
• Ensure compliance with timely filing requirements

Patient & Payer Communication

• Respond to patient and insurance inquiries professionally and efficiently
• Assist patients with billing questions and account resolution
• Communicate clearly with providers, leadership, and front office teams

Documentation & Compliance

• Accurately document all account activity in the EHR system
• Maintain strict HIPAA compliance and confidentiality standards
• Stay current with billing regulations, coding updates, and payer policies

Operational Excellence

• Identify and proactively resolve billing or reimbursement issues
• Support departmental needs with flexibility and teamwork
• Maintain proficiency in billing systems (Intergy experience a plus)
• Contribute to continuous process improvement

What We’re Looking For

Experience & Knowledge

• Medical billing experience required (OBGYN preferred)
• Strong knowledge of:
• ICD-10, CPT, and diagnosis coding
• CMS-1500 and UB-04 forms
• Insurance plans and payer guidelines
• Claims submission through clearinghouses
• Experience with:
• EOB processing and denial management
• Appeals and collections workflows
• Aging reports and account follow-up
• Cash posting, refunds, and adjustments

Skills & Attributes

• Strong attention to detail and accuracy
• Excellent problem-solving and critical thinking skills
• Highly organized with the ability to prioritize workload
• Professional communication skills (verbal and written)
• Proficiency in Microsoft Excel and Windows-based systems
• Team-oriented with a positive, proactive attitude

Education & Credentials

• High School Diploma or equivalent required
• Associate’s Degree preferred
• Billing & Coding Certification preferred

Work Environment & Expectations

• Fast-paced, collaborative healthcare setting
• Ability to sit and work at a computer for extended periods

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience:

• Medical Billing: 1 year (Preferred)