Billing Specialist

Job Summary

To support billing operations, the full-time Billing Specialist will manage daily billing tasks, ensure timely and accurate claims submissions, and maintain compliance with insurance billing policies 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 with secondary payers, addressing outstanding balances before filing
• 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 understanding third-party insurance payer guidelines
• 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