Physician Billing Specialist

The Big Picture We’re seeking a detail-oriented Billing Specialist with experience in physician billing to support our revenue cycle operations. In this role, you’ll ensure accurate, compliant claim submission and timely reimbursement while serving as a key resource for resolving billing issues. If you’re fluent in coding workflows, payer rules, and enjoy keeping accounts clean and moving, we’d like to connect. What You’ll Do Charge & Claim Management: Review and process provider charges, ensuring accurate coding alignment (CPT, ICD-10, HCPCS) before claim submission. Claims Submission: Prepare and submit clean claims to commercial payers, Medicare, and Medicaid, ensuring compliance with payer-specific guidelines. Accounts Receivable (AR): Monitor claim status, post payments and adjustments, and aggressively follow up on unpaid or denied claims. Denials & Appeals: Investigate denials, identify root causes, and submit timely corrections or appeals to maximize reimbursement. Patient Billing: Generate patient statements and respond to billing inquiries with clarity and professionalism. Data Accuracy & Compliance: Maintain accurate billing records while adhering to healthcare regulations and payer requirements. Reporting: Track AR aging, denial trends, and reimbursement metrics; provide insights to improve revenue cycle performance. What We’re Looking For Experience: 2+ years in physician billing, medical billing, or healthcare revenue cycle experience with hospice billing is a plus. Coding Knowledge: Working knowledge of CPT, ICD-10, and HCPCS coding systems (certification like CPC is a plus). Payer Knowledge: Familiarity with Medicare, Medicaid, and commercial insurance billing rules and workflows. Technical Skills: Proficiency in Excel and experience with EHR/PM systems (e.g., Epic, Athenahealth, or similar billing platforms). Attention to Detail: High level of accuracy in coding, charge entry, and claim review. Communication: Ability to clearly explain billing issues to patients, providers, and payers. Organization: Strong time management skills with the ability to prioritize high-volume workloads and meet deadlines. We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, national orientation, age, sexual orientation, marital or veteran status, or non-job related handicap or disability. #J-18808-Ljbffr