Medical Billing​/Payment Specialist

Position: Medical Billing / Payment Specialist
Location: Spring

Description

Our client has an immediate need for a Medical Billing and Payment Posting Specialist to support a busy healthcare billing team. This role will focus on payment posting, insurance claim processing, and account reconciliation while working within the Athena (athena

One/athena

Collector) platform. The position offers a consistent Monday-Friday schedule from 8:00 AM - 5:00 PM and is a contract-to-hire opportunity for someone with strong medical billing and insurance claims experience.

Key Responsibilities

+ Post insurance payments and adjustments from Explanation of Benefits (EOBs) into Athena, including denial codes, notes, and supporting documentation

+ Reconcile daily payment activity by preparing spreadsheets and validating totals against transactions recorded in Athena

+ Verify electronic claim transmissions through Athena and ensure successful submission to insurance carriers

+ Enter and post charge tickets, cash receipts, and program payments within Athena and route deposits and documentation to bookkeeping as needed

+ Review medical bills for covered services and claim accuracy prior to submission to private insurers, government programs, and third-party payers

+ Monitor unpaid or denied claims within Athena work queues and follow up appropriately, including rebilling when necessary

+ Research discrepancies and assist with claim corrections and appeals for denied or underpaid claims

+ Maintain and update patient account information, including address changes and program coverage verification

+ Respond to patient and provider inquiries regarding charges, statements, and medical billing questions

+ Conduct outbound calls to patients, providers, and insurance carriers to resolve billing issues and confirm claim status

+ Organize documentation and submit appeals for denied or underpaid claims

Requirements

Requirements

+ 2+ years of medical billing, payment posting, or revenue cycle experience

+ Experience working with Athena (athena

One or athena

Collector) preferred

+ Strong understanding of EOBs, claim submissions, and denial management

+ Experience posting insurance payments, adjustments, and charge tickets

+ Ability to reconcile payment activity and maintain accurate billing records

+ Strong attention to detail and ability to manage multiple claims and accounts

This is a great opportunity for a detail-oriented medical billing professional seeking stability and the potential for long-term growth in a healthcare environment.

Apply for immediate consideration.

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