Medical Billing Specialist

Job Description

Job Description

The Medical Billing specialist is responsible for working all aspects of the billing cycle, specifically in Accounts receivable, payment posting, denials, appeals, etc. This role requires a keen attention to detail, knowledge of medical billing best practices, and the ability to work collaboratively across departments to resolve claim issues and improve reimbursement outcomes.

Key Responsibilities:

• Tracking claims for accuracy and timely payment.
• Analyze accounts receivable reports and follow up on unpaid claims and denials.
• Reconcile patient accounts and communicate with payers regarding disputes or appeals.
• Monitor and report key performance indicators for billing operations.
• Maintain compliance with insurance guidelines and HIPAA regulations.

Qualifications:

• Certification in Medical Billing.
• 2+ years of experience in medical billing or healthcare revenue cycle (Preferred).
• Strong understanding of CPT, ICD-10, and medical billing workflows.
• Proficiency in EMR and clearinghouse platforms.
• Exceptional organizational and problem-solving skills.
• Ability to thrive in a team environment with minimal supervision.