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 regulations 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, and address outstanding balances before filing secondary claims
• Maintain compliance with CMS regulations and HIPAA while managing billing and collection practices

Required qualifications:

• 3-5 years of experience as a primary biller in a hospital business office
• High school diploma or equivalent; additional training in medical billing is a plus
• In-depth knowledge of billing codes, guidelines, and regulations, including ICD-10 and CPT
• Experience utilizing payer portals and understanding third-party insurance payer guidelines
• Familiarity with electronic health record (EHR) systems and billing software