Billing Specialist

Job Summary

Managing daily billing processes, 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, ensuring compliance with third-party payer guidelines
• Review patient accounts, reconcile payments with secondary payers, and address outstanding balances
• Collaborate with internal departments to resolve issues affecting patient accounts and improve cash flow

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 preferred
• Familiarity with electronic health record (EHR) systems and billing software