Billing & Insurance Specialist; Medical Billing & Insurance

Overview

We are seeking a highly capable Billing & Insurance Specialist to support our billing operations, insurance processes, and broader administrative functions. This role is ideal for someone with strong medical billing experience, confidence working with insurance providers, and the ability to support additional operational tasks such as Verification of Benefits (VOB) and general administrative support.

This is a multifaceted role requiring strong attention to detail, problem-solving ability, and the flexibility to handle multiple responsibilities in a fast-paced healthcare environment.

• Prepare, submit, and manage medical claims accurately and efficiently

• Review billing data to ensure accuracy and completeness prior to submission

• Follow up on unpaid, denied, or rejected claims and resolve billing issues

• Post payments, adjustments, and reconcile billing records

• Maintain accurate billing documentation and patient account records

• Work directly with insurance companies to verify coverage, resolve claims issues, and obtain claim status updates
• Understand insurance plans, eligibility requirements, and reimbursement processes

• Identify and resolve billing discrepancies and insurance denials

• Communicate with insurance providers to ensure timely reimbursement

• Verify patient insurance eligibility, benefits, and coverage details

• Confirm coverage limitations, deductibles, co-pays, and authorization requirements

• Document verification information accurately in internal systems

• Communicate benefit information clearly to internal team members

• Assist with general administrative and operational tasks as required

• Support broader billing, insurance, and operational workflows

• Maintain accurate and organized records across systems

• Assist with process improvements and operational efficiency

• Proven experience in medical billing and insurance processing

• Strong understanding of insurance verification and claims workflows

• Experience with Verification of Benefits (VOB) preferred

• Excellent attention to detail and accuracy

• Strong problem-solving and critical thinking skills

• Ability to manage multiple responsibilities and prioritize tasks

• Strong communication skills (written and verbal)

• Ability to work independently and take ownership of tasks

• Experience working with US healthcare billing and insurance

• Experience with EMR/EHR and billing software

• Experience handling claim follow-ups and denials

• Experience supporting administrative or operational healthcare functions

• Highly reliable and detail-oriented

• Strong ownership mentality

• Flexible and adaptable

• Proactive problem-solver

• Able to work across multiple functions