Billing Specialist

Job Summary

To support the billing operations of a healthcare provider, the full-time Billing Specialist will manage daily billing processes, ensure timely and accurate claims submissions, 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 and reconcile patient accounts, addressing outstanding balances and ensuring proper documentation
• Collaborate with internal departments to resolve billing issues and improve organizational cash flows

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 in a healthcare setting