Billing Specialist

Job Summary

To ensure timely and accurate payment, the full-time remote Billing Specialist will manage the submission of claims to Medicare, Medicaid, and third-party payers while handling claim re-submissions, communications, and appeals in accordance with compliance standards.

Key responsibilities

• Reviews and analyzes claims for accuracy and completeness, ensuring compliance with billing regulations
• Processes returned claims and rework requests, filing resubmissions or appeals as necessary
• Maintains knowledge of current billing guidelines and performs timely follow-up on outstanding claims

Required qualifications

• High school diploma or equivalency required; Associate's degree in business or accounting preferred
• Two years of experience in patient billing or medical-related patient accounts required
• Experience as a governmental biller in a hospital setting preferred
• Training or prior experience in CPT/ICD-10 coding desired
• Must be at least 19 years of age to witness legal consents