Medical Billing Specialist

Responsibilities

• Verify patient information and insurance coverage to ensure accurate billing
• Familiarity with Insurance portals
• Understanding of EOBs/remittances to implement contractual adjustments, denials, reviews and balance billing
• Follow up on unpaid and outstanding claims to ensure timely filing and payment
• Identify and resolve unpaid or denied claims, correct and resubmit for review
• Communicate with patients to address billing inquiries and resolve discrepancies
• Customer service to assist patients, providers and insurance companies with billing inquiries/issues
• Implement and follow established processes
• Maintain accurate documentation of billing activity on accounts
• Comply with HIPAA regulations

Qualifications

• Knowledge of EMR and EHR systems
• High school diploma or equivalent
• Associates degree or Certification in medical billing and coding (e.g., CPC, CCS, or similar)
• Proven experience in medical billing or a related field