DayBreak

Position SummaryThe Medical Billing Specialist is responsible for accurate medical claims processing, payment follow-up, prior authorization coordination, and billing compliance. This role supports timely reimbursement, resolution of billing discrepancies, and continuity of services through effective revenue cycle management and communication with payers and internal teams.Essential Duties and ResponsibilitiesMedical Billing & Claims ProcessingReview and submit accurate medical claims within required timelines.Verify client information, insurance coverage, and billing details.Monitor claim status and follow up on unpaid, denied, or rejected claims.Investigate billing discrepancies and resolve issues with payers and internal teams.Post payments, adjustments, and denials in the billing system.Authorizations & Insurance CoordinationObtain and track required prior authorizations for services, treatments, or procedures.Verify authorization requirements, submit supporting...