Billing Specialist

Job Summary

Managing outstanding accounts receivable for medical claims, the remote Billing Specialist will resolve unpaid and underpaid claims, communicate with insurance payers, and submit appeals while meeting productivity and quality goals.

Key responsibilities

• Review and work outstanding insurance accounts receivable according to established priorities
• Research and resolve unpaid, denied, and underpaid claims by contacting insurance payers
• Prepare and submit timely appeals and supporting documentation for denied claims

Required qualifications

• 1-3 years of experience in medical billing, accounts receivable, or insurance follow-up
• Strong knowledge of medical insurance billing and claims processes
• Experience with DME billing and billing Medicare and commercial insurance plans
• Familiarity with HCPCS codes, modifiers, and payer-specific billing guidelines
• Basic computer proficiency with billing systems and payer portals