General Information
Job title: Medical Billing Specialist
Schedule: Full‑time, 80 hours per pay period; Monday - Friday, 8:00am - 4:30pm
Position is not eligible for remote work. Must report on‑site daily.
Weekend rotation: No Weekends
Holiday rotation: No Holidays
Position Summary
The Medical Billing Specialist is responsible for accurately preparing, submitting, and following up on medical claims to insurance companies and patients. This role ensures timely reimbursement, compliance with healthcare regulations, and effective communication with providers, payers, and patients.
Position Responsibilities
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers (electronic and paper)
Review and resolve accounts and pre‑claim edits
Verify patient insurance coverage and benefits
Review documentation and charges for accuracy and compliance
Monitor accounts receivable and follow up on outstanding balances
Follow up on unpaid, denied, or rejected claims and resolve billing issues
Review and reconcile account credit balances
Identify and correct billing errors to prevent claim rejections
Communicate and collaborate with coding, denial management specialists, insurance companies, patients, clinical staff, and healthcare providers regarding billing inquiries or issues to ensure accurate charges, billing, and reimbursement
Maintain compliance with HIPAA, Medicare, Medicaid, and payer guidelines
Assist with patient billing questions and patient payments
Interpret EOBs and remittance advice
Maintain accurate billing records and documentation
Support audits and compliance initiatives when documentation is required
Perform other duties as requested
Position Requirements
High school diploma or equivalent required
1+ years of related work experience required
Experience working in the medical industry is preferred
Familiarity with insurance guidelines, EOBs, and claim adjudication processes
Proficiency with electronic health records (EHR) and billing software
Exceptional accuracy and attention to detail required
Knowledge, Skills, & Abilities
Intermediate proficiency with computers is required
Experience in insurance claims required
Knowledge of CPT, ICD‑10, and HCPCS coding systems
Strong quantitative and analytical competency
Self‑starter with excellent interpersonal communication and problem‑solving skills
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