Medical Billing Specialist

As a Medical Billing Specialist , you'll play a key role in ensuring the financial health of our practice by managing the billing and reimbursement process from claim submission through payment resolution. The ideal candidate is detail-oriented, organized, and committed to providing excellent service to both patients and insurance partners. Responsibilities Submit accurate and timely insurance claims for physical therapy services. Review and resolve claim edits, denials, rejections, and unpaid balances. Follow up with insurance carriers to ensure prompt reimbursement and appeal denied claims when appropriate. Verify insurance eligibility, benefits, and authorization requirements. Post insurance and patient payments accurately and reconcile payment discrepancies. Process patient account adjustments, refunds, and payment arrangements as needed. Research and resolve billing inquiries from patients, providers, and insurance companies. Maintain accurate patient account documentation within the practice management system. Monitor accounts receivable aging and proactively work outstanding balances. Ensure compliance with payer guidelines, HIPAA regulations, and billing best practices. Collaborate with front office staff and clinical teams to improve billing accuracy and reimbursement efficiency. Stay current on insurance regulations, payer policies, and medical billing and coding requirements to ensure compliance. Qualifications High school diploma or equivalent required; Associate's degree preferred. 1-2 years of medical billing, accounts receivable, or healthcare revenue cycle experience preferred. Experience working with commercial insurance, Medicare, Medicaid, and workers' compensation claims. Knowledge of CPT, ICD-10, medical terminology, and insurance reimbursement processes. Experience with insurance verification, claim submission, payment posting, and denial management. Strong attention to detail and ability to work independently Excellent communication and customer service skills Proficiency with Microsoft Office and medical billing software (Waystar, Japari, or similar systems preferred). The Ideal Candidate Enjoys solving problems and investigating complex billing issues. Takes pride in accuracy and attention to detail. Communicates professionally and compassionately with patients and insurance representatives. Is self-motivated and able to manage priorities independently. Thrives in a collaborative team environment. Is committed to continuous learning and process improvement. #J-18808-Ljbffr Usphysicaltherapy2