Medical Billing Specialist

Job Description

Job Description

We are looking for a Medical Billing Specialist to support a busy healthcare billing operation. This long-term contract opportunity is ideal for someone who can manage claims activity, resolve payment issues, and communicate effectively with patients, payers, and internal teams. The role offers the chance to contribute to accurate revenue cycle performance in a fast-paced environment while maintaining strong service and compliance standards.

Responsibilities:
• Oversee medical claims throughout the billing lifecycle, from initial submission to final reimbursement.
• Investigate and address unpaid, denied, rejected, or partially paid claims to improve collection outcomes.
• Conduct accounts receivable follow-up with commercial insurance plans as well as Medicare and Medicaid payers.
• Review billing exceptions and denial trends, then take corrective action to resolve discrepancies efficiently.
• Collaborate with patients, providers, insurance representatives, and internal departments to answer billing questions and clear outstanding issues.
• Prepare and submit claims with complete and accurate documentation while meeting required processing deadlines.
• Maintain consistent accuracy and productivity in a high-volume medical billing setting.
• Contribute to revenue cycle support activities tied to the rollout of a new medical records system when needed.
• Assist with payment posting and account balancing tasks to help keep billing records current and accurate.
• Deliver high-quality customer service while adhering to healthcare billing regulations and organizational standards.• At least 2 years of experience in medical billing.
• Hands-on background in accounts receivable follow-up and collections within a healthcare setting.
• Proven ability to manage denials, rejections, and claim status follow-up effectively.
• Experience using healthcare billing platforms and electronic medical records systems; familiarity with ePaces is a plus.
• Working knowledge of Medicare, Medicaid, and commercial payer billing guidelines.
• Strong organizational skills with the ability to handle competing priorities in a high-volume environment.
• Excellent attention to detail, problem-solving ability, and clear written and verbal communication skills.
• Detail-oriented and service-oriented when working with patients, insurance carriers, and internal teams.