Medical Billing & A​/R Specialist

Medical Billing and Accounts Receivable Specialist

The position focuses on accurate management of billing processes, resolution of claims, and timely collection of payments from insurance carriers and patients. The role requires a high level of professionalism and strong knowledge of healthcare billing and payer regulations.

• Claims Management:
  Prepare, review, and submit clean claims to insurance payers; follow up on unpaid or denied claims to ensure timely reimbursement; review and analyze Explanation of Benefits (EOBs) for accuracy and compliance.
• Accounts Receivable Oversight:
  Manage accounts receivable balances; maintain accurate records of all collection activities; reconcile accounts, identify discrepancies, and take appropriate action to resolve them; contact insurance carriers and patients to secure payment and address billing inquiries.
• Denial Resolution:
  Investigate and resolve claim denials or rejections by submitting appeals or corrections; communicate with insurance payers to address discrepancies and expedite resolutions.
• Patient Billing:
  Respond to patient inquiries regarding billing statements, payments, and account balances; set up payment plans and ensure proper documentation of patient payment arrangements.
• Compliance and Documentation:
  Ensure compliance with federal, state, and payer-specific billing regulations, including HIPAA; maintain detailed and accurate documentation of billing and collection activities.

• High school diploma or equivalent.
• Minimum of 5 years of experience in medical billing, collections, or revenue cycle management.
• Proficiency in medical billing software and familiarity with CPT, ICD-10, and HCPCS coding.
• Strong knowledge of payer regulations, including Medicare, Medicaid, and commercial insurance.
• Exceptional attention to detail and organizational skills.
• Excellent written and verbal communication abilities.
• Strong analytical and problem-solving capabilities.

Position is performed in a professional office environment. Hybrid or remote work arrangements may be available, depending on organizational policies.

Competitive wages, benefits, and yearly bonus opportunities; nine paid holidays; open weekdays only.