Hire Solutions

Medical Billing Specialist Position Overview: We are seeking a detail-oriented Medical Biller to accurately process medical claims, post payments, and follow up on outstanding accounts. This role requires strong organizational and problem-solving skills. The ideal candidate will be proactive in identifying and correcting claim issues, communicating effectively with internal teams, and ensuring timely reimbursement. Key Responsibilities: Submit claims for services through billing software and clearinghouses Apply PPS billing rules, including modifiers, value codes, and occurrence codes Investigate denials by reviewing remittance advice and identifying root causes Correct and resubmit claims efficiently Communicate recurring issues or system errors with supervisors for resolution Follow up on outstanding claims via payer portals or phone Draft professional appeals for denied claims, especially authorization-related issues Escalate missing or invalid...