Billing Specialist

Job Summary

Managing daily billing processes, the full-time Billing Specialist will ensure timely and accurate claims submission, 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 with secondary payers, and address outstanding balances before filing claims
• 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
• Proven experience in third-party insurance billing and collections, preferably in a healthcare setting
• In-depth knowledge of billing codes, guidelines, and regulations, including ICD-10, CPT, and DRG
• High school diploma or equivalent; additional training in medical billing is a plus
• Experience utilizing payer portals and understanding clearinghouse requirements