Billing Specialist

A Health Care Billing Specialist ensures accurate billing of medical services, processes insurance claims, follows up on unpaid claims, and maintains compliance with healthcare regulations. This role plays a critical part in maintaining the financial health of medical practices, hospitals, and clinics.

• Prepare and submit medical claims to insurance companies (private insurers, Medicare, Medicaid)
• Review patient records to ensure accurate coding and billing
• Verify patient insurance coverage and eligibility
• Post payments and reconcile accounts
• Follow up on denied or unpaid claims
• Communicate with insurance companies regarding claim issues
• Generate patient invoices and explain billing statements
• Maintain accurate financial records and documentation
• Ensure compliance with HIPAA and healthcare billing regulations
• Work closely with medical coders and healthcare providers

• High school diploma or equivalent (Associate’s degree preferred)
• Certification such as:
• Certified Professional Biller (CPB) – AAPC
• Certified Billing and Coding Specialist (CBCS) – National Health career Association
• Knowledge of CPT, ICD-10, and HCPCS coding systems
• Familiarity with electronic health record (EHR) systems
• Strong attention to detail and accuracy
• Understanding of insurance guidelines and reimbursement processes
• Excellent communication and customer service skills
• Basic accounting and data entry skills

Compensation: $75,000 to $80,000 annually

Compensation is based on a range of factors that include relevant experience, knowledge, skills, other job-related qualifications.