Billing Specialist

Job Summary

Managing daily billing operations, the full-time remote Billing Specialist will ensure timely and accurate claims submission, resolve billing edits, and maintain compliance with insurance policies and regulations.

Key responsibilities

• Prepare and submit accurate claims for patient services while ensuring compliance with third-party payer guidelines
• Review patient accounts, reconcile payments with secondary payers, and address outstanding balances before filing claims
• Maintain accurate records of all claims and collaborate with internal departments to resolve billing issues affecting patient accounts

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 understanding client systems and clearinghouse requirements
• High school diploma or equivalent; additional training in medical billing is a plus
• Proven experience in third-party insurance billing and collections in a healthcare setting