Medical Billing Specialist
The Judge Group Inc
Medical Billing Specialist
Location: Dallas, TX - Hybrid
Responsibilities
Location: Dallas, TX - Hybrid
Responsibilities
- Submit accurate and timely claims (electronic and paper) to Medicare, Medicaid, and commercial insurance payers using billing systems (e.g., Niko Health, Salesforce)
- Monitor claims lifecycle to ensure proper adjudication and reimbursement
- Review, analyze, and post EOBs, payments, and denials across billing systems
- Investigate root causes of denials or rejections and support prevention strategies
- Escalate or route uncollectible balances to appropriate queues (e.g., write-offs, patient responsibility review)
- Communicate effectively with patients, providers, and internal teams regarding billing inquiries
- Identify workflow inefficiencies and recommend process improvements
- Support additional projects and tasks as assigned
- Maintain consistent attendance and meet productivity and quality KPIs
- Ensure compliance with HIPAA, payer requirements, and all applicable policies and regulations
- High school diploma or equivalent required
- Some college coursework and/or medical billing certification preferred
- Minimum 2 years of experience working with Medicare, Medicaid, and/or commercial insurance
- Experience in HME (Home Medical Equipment) billing strongly preferred
- Proficiency with Microsoft Office; Salesforce experience preferred
- Equivalent combination of education, training, and experience will be considered
- Strong knowledge of Medicare, Medicaid, and commercial insurance billing requirements (DME/HME preferred)
- High attention to detail and accuracy
- Ability to manage priorities in a fast-paced environment
- Strong analytical and problem-solving skills
- Effective written and verbal communication skills
- Ability to collaborate and work across teams
- Solution-oriented mindset with a focus on continuous improvement
- Strong organizational and time management skills
- Demonstrated work ethic and accountability
Vacancy posted 2 days ago
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