Oct 05, 2026

Medical Billing Specialist

Job Description

Self-Pay Billing SpecialistManage daily billing functions for assigned patient and insurance companies. Coordinate the interaction between patients and payors to facilitate timely reimbursement. Serve as a point of contact for billing problem solving. In depth knowledge of carrier Clinical Coverage Policies (CCP) and Billing Coverage Policies (BCP).SPECIFIC RESPONSIBILITIES:Maintain Accounts Receivable KPI (A/R balances older than 120 days must be less than 19% of total A/R)Maintain Adjusted Collection Percentage KPI (Reimbursement/Collections equal to or above 97% of Expected)Review and resolve denied patient insurance claimsReview and resolve collection accountsPatient RefundsManage Online payment portalsAssist in identifying current and/or potential billing issues specific to unpaid claimsPost and balance all activity from carrier remits to include payments, contractual adjustments, and other adjustmentsPost and balance all payments from patientsMake appropriate decisions and calls to carriers to maximize reimbursement on accounts to be workedCorrect errors on electronic error reportsProcess and print/transmit patient insurance claims, bills and other reports.Respond to patient account inquiries in person, by phone, or by mail; resolve problems as necessaryRespond to inquiries from office staff regarding patient charges, appropriatediagnosis coding, and insurance coverage related issuesRespond to inquiries from employees, payers, and patients regarding CPT and ICD-10 codesMaintain high level of patient confidentialityEnsure compliance with HIPAA regulationsThis role description is a general description of the essential job functions. It is not intended to describe all the duties the Self-Pay Billing Specialist may perform.KEY COMPETENCIES:Communication SkillsDecision MakingHealthCare KnowledgeInterpersonal SkillsOrganizational ValuesProblem SolvingSPECIFIED SKILLSCOMPUTER Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)Must have the ability to use/learn Allscripts products and various insurance company websites.FOREIGN LANGUAGE Spanish speaking skills preferred.PHYSICAL DEMANDSSedentary - Very light energy level: Lift 10 lbs box overhead, Lift and Carry 15 lbs, Push/Pull 20 lbs cartOccasional (0 - 33% of Workday)SUPERVISORY RESPONSIBILITIES:Not Applicable.EDUCATION AND EXPERIENCEMINIMUM QUALIFICATIONS: Associate Degree in Business, Health Administration, or a related field, three (3) years relevant experience in dental, or a comparable combination of education and/or experience.REQUIRED LICENSES:Not Applicable.SCHEDULE:Regular attendance on-site is an essential function of this position. Typical business hours are Monday – Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.POSITION COMPENSATION:$23.65/hour, full time + full benefits availableAt MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive.MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to AskTalent@mahec.net for support in your job search process. You could be the talent we are seeking for this or other opportunitiesAll MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.MAHEC does not provide employment-based US visa sponsorship, now or in the future. All new employees must provide valid, original I-9 documents on their first day of work.MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer.