Medical Billing Specialist

Medical Billing Specialist - Edgewater, MD
Are you an experienced Medical Billing Specialist looking to join a mission-driven organization that makes a meaningful difference every day? We are partnering with a respected behavioral health and community services organization seeking a detail-oriented Medical Billing Specialist to support a busy revenue cycle team.


This is an excellent opportunity for a Medical Billing Specialist who enjoys working in a collaborative environment while helping ensure critical healthcare services remain accessible to underserved populations. This person will work alongside a passionate and supportive team that genuinely cares about the people they serve. The ideal candidate will have experience managing claims, insurance authorizations, payment postings, and billing follow-up within a healthcare setting.


This position is primarily onsite during training and onboarding, with potential hybrid flexibility available once fully trained and established in the role.
Responsibilities for the Medical Billing Specialist Role:

• Manage the end-to-end claims process from review and submission through reimbursement and resolution.
• Perform quality checks on billing activity to identify and correct issues before claims are transmitted.
• Investigate denied, rejected, or underpaid claims and coordinate corrective actions to maximize collections.
• Partner with clinical and operational teams to obtain documentation needed for timely claim processing.
• Verify coverage, authorization requirements, and payer eligibility to support accurate billing outcomes.
• Maintain billing records, payment activity, and reporting within the organization's EHR and revenue cycle systems.
• Support ongoing revenue cycle operations through claims follow-up, account review, and reimbursement tracking.
• Generate routine billing and productivity reports using Excel and internal reporting tools.

• 3+ years of experience in medical billing, healthcare revenue cycle, claims processing, insurance verification, or related healthcare billing functions
  • Experience tracking, submitting, correcting, and resubmitting healthcare claims
  • Strong understanding of the complete billing lifecycle from authorization through reimbursement
  • Knowledge of insurance authorizations, coordination of benefits, and payer requirements
  • Experience researching and resolving claim denials and payment issues
  • Familiarity with Maryland Medicaid billing requirements strongly preferred
• Experience using Credible, Carelon portal, Availity, or similar platforms preferred
• Proficiency with Microsoft Excel, Outlook, and Word
• Strong organizational skills with excellent attention to detail
• Ability to work independently while contributing to a mission driven team-oriented culture
• Must be able to pass a background check and TB test