Medical Billing Specialist

Medical Billing Specialist

A confidential healthcare billing organization is seeking an experienced Medical Billing Specialist. This role is fast-paced and high-volume, requiring exceptional accuracy, claim resolution skills, and a thorough understanding of insurance processes and coding guidelines.

Key Responsibilities Work aged accounts, verify insurance benefits, and resolve outstanding claims

Review, correct, and resubmit denied claims to ensure timely reimbursement

Manage unpaid patient balances and follow medical collection best practices

Apply accurate ICD-10 coding for diagnoses and procedures

Process daily medical billing for services rendered by providers

Handle refund requests and maintain compliance with billing and coding regulations

Collaborate with clinical and administrative teams to ensure complete and accurate billing data Confirm insurance coverage and obtain authorizations when needed

Required Qualifications Proven success in claim resolution and follow-upMediClear Certification or equivalent HIPAA/privacy certification

Strong knowledge of ICD-10 and medical billing procedures

Familiarity with medical terminology, coding guidelines, and collection processes

Exceptional attention to detail and accuracy

Ability to work efficiently in a high-volume environment and meet quotasEPIC experience preferred but not required Benefits
401(k) employer matching

Medical, dental, and vision insurance

Paid time off