Medical Billing Specialist

Job Summary

Seeking a detail-oriented Medical Billing Specialist II, the full-time position will involve accurately preparing and submitting medical claims, ensuring compliance with payer guidelines, and resolving claim issues both remotely and onsite.

Key responsibilities

• Review and process claims for accurate billing to insurance payers and patients
• Verify billing information, including procedure and diagnosis codes, and submit claims electronically or via paper
• Resolve claim rejections and monitor unpaid claims, collaborating with various teams to address billing issues

Required qualifications

• High school diploma or equivalent; Associate's degree in a related field preferred
• Minimum of 2 years of experience in medical billing or revenue cycle operations
• Knowledge of healthcare billing practices, insurance processes, and medical terminology
• Proficient in billing software and electronic health record (EHR) systems
• Understanding of CPT, ICD-10, HCPCS coding, and claim submission standards