Medical Billing Specialist

Job Summary

To support healthcare providers in delivering patient care, the full-time Medical Billing & Collections Specialist will work remotely to manage denied claims, follow up with insurance companies and patients, and ensure compliance with billing regulations.

Key responsibilities

• Investigate and resolve claim denials through appeals, resubmissions, or necessary corrections
• Conduct regular follow-ups with insurance companies and patients to secure timely payments of outstanding balances
• Stay updated on industry regulations and compliance requirements to ensure adherence in billing practices

Required qualifications

• Proven experience in resolving denied/underpaid claims and maximizing insurance reimbursements
• Extensive knowledge of various aspects of medical billing and collections, including claim submissions and follow-ups
• Experience with Out of Network billing processes
• Proficiency in Excel and Google Sheets for data analysis and reporting
• Familiarity with major medical insurance providers and payer portals