Billing Specialist

Job Summary

Managing daily billing processes, the full-time Billing Specialist will ensure timely and accurate claim submissions, resolve billing edits, and maintain compliance with insurance regulations while working remotely.

Key responsibilities

• Prepare and submit accurate claims for patient services, ensuring compliance with third-party payer guidelines
• Review patient accounts and reconcile payments, addressing 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 regulations, including ICD-10, CPT, and DRG
• Experience utilizing payer portals and clearing house requirements
• High school diploma or equivalent; additional training in medical billing is a plus
• Proven experience in third-party insurance billing and collections, preferably in a healthcare setting