Billing Specialist

Under general direction, the Billing Specialist performs a wide range of technical accounting and patient‑billing responsibilities to support accurate and timely financial operations. This role plays an important part in maintaining billing integrity, ensuring compliance with regulations, and delivering attentive, patient‑focused service. As a grant‑funded position, continued employment is contingent upon the renewal and approval of grant funding.

The ideal candidate brings experience in medical billing, strong attention to detail, and the ability to work both independently and collaboratively within a fast‑paced healthcare environment. This position interacts daily with patients, insurance representatives, and internal departments, requiring clear communication, problem‑solving skills, and a commitment to maintaining confidentiality and high professional standards.

• Receive, review, and enter patient information into the Electronic Medical Record (EMR).
• Receive payments, reconcile with Explanation of Benefits (EOB), and post all payments into the EMR; reconcile EFT payments with statements.
• Scrub and submit electronic and paper billing claims to Medicaid, Medicare, and private insurance carriers.
• Research and resolve claim denials promptly to ensure timely reimbursement.
• Perform payment summaries, balance monies received, assign funds to proper accounts, and prepare deposits.
• Provide customer service by responding to information requests, researching records, and assisting in resolving patient concerns within scope of authority.
• Initiate collection efforts, locate and collect past‑due accounts, and establish payment plans.
• Offer guidance and technical information regarding billing procedures and methods.
• Prepare reports, correspondence, account notations, and maintain accurate records and documentation.
• Maintain registers and journals according to established accounting classifications.
• Research and respond to department inquiries on account status, coding, and related financial matters.
• Communicate effectively with patients and insurance representatives regarding claims, balances, and billing issues.
• Identify and resolve patient billing complaints.
• Assist with insurance contracting and credentialing as needed.
• Operate standard office equipment, including computers and 10‑key, with speed and accuracy.
• Maintain confidentiality and comply with HIPAA and all regulatory requirements.
• Contribute to a positive and cooperative work environment.

Education & Experience

• High School diploma or GED; and two (2) years of accounting experience and coursework in medical billing, OR an equivalent combination of education, training, and experience as determined by Human Resources.

Required Licenses

• Valid Driver’s License.

Knowledge Of

• CPT coding and medical terminology.
• Accounting and budgeting principles.
• Applicable policies, procedures, and regulations.
• City accounting software;
  Microsoft Word, Excel, and Outlook.
• Recordkeeping principles and records‑management practices.
• Standard and specialized computer applications.
• Professional communication methods.
• Techniques for working with individuals from diverse backgrounds.

Skill In

• Applying accounting standards, procedures, regulations, and policies.
• Preparing cost accounting statements and statistical reports.
• Verifying the accuracy of data, transactions, and reports.
• Maintaining accurate accounting records and reconciling discrepancies.
• Updating financial systems and generating accurate reports.
• Performing precise mathematical calculations.
• Entering numerical data quickly and accurately.
• Participating in and contributing to effective work teams.
• Building and maintaining constructive relationships with staff, coworkers, contractors, and the public.

MARATHON IS AN EQUAL OPPORTUNITY EMPLOYER