Medical Billing Specialist

Job Description

A confidential healthcare billing organization is seeking an experienced Medical Billing Specialist . This role is fast-paced and high-volume, requiring exceptional accuracy, claim resolution skills, and a thorough understanding of insurance processes and coding guidelines.

Key Responsibilities

Work aged accounts, verify insurance benefits, and resolve outstanding claims

Review, correct, and resubmit denied claims to ensure timely reimbursement

Manage unpaid patient balances and follow medical collection best practices

Apply accurate ICD-10 coding for diagnoses and procedures

Process daily medical billing for services rendered by providers

Handle refund requests and maintain compliance with billing and coding regulations

Collaborate with clinical and administrative teams to ensure complete and accurate billing data

Confirm insurance coverage and obtain authorizations when needed

Required Qualifications

Proven success in claim resolution and follow-up

MediClear Certification or equivalent HIPAA / privacy certification

Strong knowledge of ICD-10 and medical billing procedures

Familiarity with medical terminology, coding guidelines, and collection processes

Exceptional attention to detail and accuracy

Ability to work efficiently in a high-volume environment and meet quotas

EPIC experience preferred but not required

Benefits

401(k) + employer matching

Medical, dental, and vision insurance

Paid time off

Requirements

Assistant