Medical Billing Specialist

Job Description

Job Description

We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in Metairie, Louisiana. This contract-to-permanent role focuses on accurate claim processing, follow-up on outstanding balances, and timely resolution of billing issues with payers. The ideal candidate brings strong knowledge of medical billing workflows, coding support, and denial management, along with the ability to work efficiently in a fast-paced environment.

Responsibilities:

• Prepare, review, and submit medical claims to insurance carriers with a high level of accuracy and timeliness.

• Investigate rejected or unpaid claims, determine the cause of the issue, and take appropriate action to secure reimbursement.

• Manage follow-up activities for insurance and patient balances, including collections efforts when needed.

• Apply billing knowledge and coding-related understanding to help ensure claims are compliant and properly documented.

• Use EPACES and related billing systems to verify claim status, review eligibility details, and support reimbursement activities.

• Analyze denial trends and resolve insurance-related payment issues by communicating with carriers and internal stakeholders.

• Maintain complete and organized billing records while updating account activity and claim notes consistently.

• Collaborate with team members to improve billing efficiency and support changes to processes or systems when required.

• At least 3 years of experience in medical billing within a healthcare or physician practice setting.
• Working knowledge of medical coding concepts as they relate to claim preparation and reimbursement.
• Experience handling medical collections, claim follow-up, and account resolution activities.
• Proficiency in researching and resolving claim denials and insurance denials.
• Hands-on experience using EPACES or comparable billing and eligibility tools.
• Strong attention to detail with the ability to manage multiple claims and deadlines effectively.
• Clear communication skills and the ability to interact professionally with insurance representatives and internal teams.