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Medical Billing Specialist (Accounts Receivable Focus)

Medical Billing Specialist (Accounts Receivable Focus)

Mdb Health Services CareersFlowood, Mississippi, United States
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Job Summary

We are seeking a detail-oriented  Medical Billing Specialist with a focus on Accounts Receivable  to support our in-house revenue cycle operations. This role involves overseeing the full AR process for multiple Rural Health Clinics, including timely and accurate billing of Part A and Part B services. You'll be joining a collaborative, supportive team at our company headquarters.

Primary Responsibilities

Core duties emphasize  Accounts Receivable functions  across the entire billing cycle :

  • Daily claim submission  to insurance payers;
  • Research and resolve denied, rejected, or no-response claims , including correction and appeals;
  • Follow up on unpaid or underpaid claims  in a timely and persistent manner to ensure resolution and maximize reimbursement;
  • Maintain updated patient and insurance data  in billing software to ensure claims are accurate and up to date;
  • Collaborate with team leads and supervisors  on reimbursement issues, trends in denials, or workflow improvements;
  • Respond to requests  for medical records and additional claim documentation as needed;
  • Assist with reporting and documentation  related to collections, AR trends, and key performance indicators (KPIs).

Qualifications

Required Experience :

  • Minimum  2 years of medical billing experience
  • Strong working knowledge of the full AR lifecycle within a healthcare setting
  • Education / Certification :

  • High school diploma or GED  (required)
  • Preferred certifications :  CCS, CCSP, CPC, CPC-P, RHIA, COC
  • Preferred :  Associate degree or higher in Health Information Management, Healthcare Administration, or related field
  • Skills and Competencies :

  • Proficient in billing both  electronic and paper claims
  • Strong understanding of  ICD-10, CPT / HCPCS coding , and modifier usage
  • Ability to interpret  insurance guidelines  for Medicare, Medicaid, and commercial payers
  • Skilled in  EHR / EMR navigation , payor portals, and  billing software
  • Strong  phone communication and problem-solving skills  for working denials and collections
  • Familiarity with  payor bundling / unbundling rules , medical necessity criteria, and common denial reasons
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    Medical Billing Specialist • Flowood, Mississippi, United States