The Judge Group
Dallas, TX
Location: Dallas, TX
Salary: $55,000.00 USD Annually – $60,000.00 USD Annually
Medical Billing Specialist
Responsibilities
Submit accurate and timely claims (electronic and paper) to Medicare, Medicaid, and commercial insurance payers using billing systems (e.g., Niko Health, Salesforce)
Monitor claims lifecycle to ensure proper adjudication and reimbursement
Review, analyze, and post EOBs, payments, and denials across billing systems
Investigate root causes of denials or rejections and support prevention strategies
Escalate or route uncollectible balances to appropriate queues (e.g., write-offs, patient responsibility review)
Communicate effectively with patients, providers, and internal teams regarding billing inquiries
Identify workflow inefficiencies and recommend process improvements
Support additional projects and tasks as assigned
Maintain consistent attendance and meet productivity and quality KPIs
Ensure compliance with HIPAA, payer requirements, and all...