Medical Billing Specialist

Job Summary

To support the organization's financial goals, the full-time Medical Billing Specialist will accurately prepare and submit medical claims, verify billing information, and resolve claim rejections while ensuring compliance with payer guidelines.

Key responsibilities

• Review and process claims for services rendered to ensure accurate billing to insurance payers and patients
• Submit primary and secondary claims electronically or via paper, as required, and monitor unpaid or delayed claims
• Collaborate with coding, registration, and clinical teams to resolve billing issues or obtain missing information

Required qualifications

• High school diploma or equivalent required; Associate's degree in a related field preferred
• Minimum of 1-2 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