Medical Billing Specialist
1 week ago
**Overview**:
Youll play a critical role in ensuring our clients billing operations run smoothly maintaining compliance, reducing denials, and accelerating cash flow.
**Key Responsibilities**:
- Prepare, review, and submit medical claims to insurance companies (electronic and paper)
- Follow up on unpaid claims and resolve denials or rejections promptly
- Verify patient insurance coverage and benefits prior to service
- Post payments and adjustments accurately to patient accounts
- Reconcile accounts receivable and generate aging reports
- Communicate with patients, providers, and insurance representatives to resolve billing inquiries
- Maintain compliance with HIPAA and all federal, state, and payer regulations
- Assist with month-end reporting and financial tracking as needed
- Collaborate closely with medical coders and case managers to ensure billing accuracy
**Requirements**:
- Minimum **2 years of experience** in U.S. medical billing and collections
- Strong knowledge of **CPT, ICD-10, and HCPCS codes**
- Experience with insurance portals, clearinghouses, and EHR systems (e.g., Availity, Kareo, Athena, DrChrono, AdvancedMD)
- Excellent English communication skills written and verbal
- High attention to detail and analytical problem-solving skills
- Proficient in Excel/Google Sheets and general computer systems
- Ability to work **full-time U.S. business hours (EST)**
**Preferred**:
- Experience with **Medicare, Medicaid, and commercial payers**
- Familiarity with **revenue cycle management (RCM)** processes
- Knowledge of **HIPAA** compliance best practices
- Previous experience working with **remote U.S. healthcare providers**
- ** Experience in nursing home or long-term care billing** is a strong plus
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