Medical Billing Specialist - Insurance AR

Medical Billing Specialist - Insurance AR

Olympic Sports & Spine (OSS) is seeking an experienced Medical Billing Specialist with expertise in Insurance AR to join our on-site billing team. This role is responsible for insurance follow-up to ensure medical claims are accurately billed, processed, and reimbursed in a timely manner.

The ideal candidate thrives in a fast-paced billing office, delivers excellent customer service, and wants a MondayFriday schedule with no weekends.

Position Summary:

The Medical Billing Specialist performs insurance A/R collection by following up with assigned insurance carriers, manages appeals, resolves patient and payer inquiries, and ensures accurate account activity.

Ideal candidates will have experience with patient accounting, including billing, follow-up, collections, payment posting, and credit balance resolution.

Key Responsibilities:

• Review patient financial information to verify compliance with payer requirements and correct financial coding.
• Audit claim forms for accuracy and completeness; submit claims through payer portals or direct-entry systems.
• Enter allowances and adjustments based on payer guidelines and department procedures.
• Access payer systems to obtain eligibility, claim status, and processing details.
• Respond to inquiries from patients, payers, agencies, and internal departments.
• Analyze unpaid claims to determine appropriate follow-up action and ensure timely reimbursement.
• Review contract reimbursements for accuracy.
• Contact patients and payers by phone to resolve outstanding account balances.
• Correct account errors and document all actions.
• Prepare written correspondence regarding account concerns.
• Evaluate delinquent accounts and determine the best next steps in accordance with department guidelines.
• Assess patient financial information and recommend payment plans when appropriate.
• Prepare accounts for placement with collection agencies when internal efforts are exhausted.
• Process accounts involving returned mail, bankruptcies, or deceased patients per procedures.
• Post and balance daily remittances; apply allowances and adjustments.
• Resolve credit balances through adjustments or refunds to patients or payers.
• Participate in required educational activities and monthly staff meetings.
• Perform other related duties as assigned.

Knowledge, Skills & Abilities:

• Extensive experience in medical insurance billing and follow-up.
• Experience in healthcare accounts receivable/collections (preferred).
• Strong analytical skills and sound judgment.
• Excellent interpersonal, written, and verbal communication skills.
• Persuasive and professional customer service abilities.
• Ability to work independently and prioritize daily tasks effectively.
• Ability to communicate clearly with patients, payers, and internal staff.
• Commitment to maintaining confidentiality and following all HIPAA regulations.
• Ability to represent OSS professionally at all times.

Benefits:

• OSS offers a comprehensive benefits package, including:
• 401(k) with employer match
• Medical, dental, and vision insurance
• Advancement opportunities
• Company-wide celebrations and events

Schedule:

• MondayFriday, 8:00 a.m. 5:00 p.m.
• 100% on-site at our centralized Tacoma billing office

Equal Opportunity Employer

We value diversity and are committed to creating an inclusive environment. OSS does not discriminate based on race, color, religion, national origin, gender, gender identity or expression, sexual orientation, age, disability (visible or invisible), veteran status, genetic information, marital status, or any other protected characteristic.

As part of our commitment to maintaining a professional, compliant, and high-integrity workplace, all employment offers at Olympic Sports & Spine are contingent upon the successful completion of a comprehensive background screening. This process may include, but is not limited to, verification of prior employment and education, a credit check (if relevant to the position), criminal history review, and reference checks.

By submitting your application, you acknowledge and consent to this screening process. Please note that any offer of employment will remain conditional until the screening is complete and the results meet the standards set by Olympic Sports & Spine.

Olympic Sports & Spine is an equal opportunity employer and conducts all background screenings in compliance with applicable federal, state, and local laws.