Medical Billing Specialist

About the role

Work Location: Teays Valley, WV. The Billing Specialist is responsible for managing third-party and patient billing processes, ensuring accurate claim submission, payment posting, reimbursement tracking, and account resolution. This role works closely with insurance companies, healthcare providers, and patients to facilitate timely and accurate billing operations while maintaining compliance with payer requirements and organizational standards.

Responsibilities

• Review provider documentation and billing data for accuracy before claim generation.
• Verify insurance information and payer-specific requirements, including authorizations, modifiers, and claim submission guidelines.
• Submit claims electronically to appropriate insurance carriers and payers.
• Investigate, review, and resolve denied or rejected claims promptly.
• Communicate with insurance companies, healthcare providers, and patients regarding billing, claims, and reimbursement issues.
• Utilize payer portals and websites to obtain claim status updates and process requests.
• Verify patient insurance eligibility and benefits.
• Accurately post payments