Billing Specialist

Job Summary

Managing daily billing processes, the full-time Billing Specialist will ensure timely and accurate submission of claims, resolve billing edits, and maintain compliance with insurance policies while working remotely.

Key responsibilities:

• Prepare and submit accurate claims for patient services, ensuring compliance with third-party payer guidelines
• Review patient accounts, reconcile payments, and address outstanding balances before filing with secondary payers
• Collaborate with internal departments to resolve issues affecting patient accounts and assist in reducing account receivable days

Required qualifications:

• 3-5 years of experience as a primary biller in a hospital business office
• In-depth knowledge of billing codes, guidelines, and third-party insurance payer requirements
• Experience utilizing payer portals and electronic health record (EHR) systems
• High school diploma or equivalent; additional training in medical billing is a plus
• Familiarity with medical terminology, ICD-10, CPT, and DRG coding preferred