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.

• 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

Salary: $60,000-$70,000
Schedule: Monday-Friday 8am-5pm in Edgewater, MD. Hybrid flexibility offered after training

#INOCT
2026