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We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Richmond, Virginia. This contract opportunity with permanent potential is ideal for someone who brings strong knowledge of medical claims, insurance billing, and account follow-up in a fast-paced office setting. The person in this role will help drive timely reimbursement, resolve claim issues efficiently, and deliver a high standard of service to patients and insurance partners.
Job Responsibility:
Monitor aging reports and proactively pursue patient account balances that remain unpaid beyond 60 days from the date of service
Submit electronic primary and secondary insurance claims accurately and consistently to support prompt payment processing
Investigate rejected, returned, or denied claims and take corrective action quickly, including resubmission and account adjustment when needed
Prepare and submit claim appeals with clear supporting documentation to improve reimbursement outcomes
Review billing details for accuracy, completeness, coding alignment, and insurance selection before claims are finalized
Work directly with insurance carriers and third-party contacts to resolve denials, partial payments, suspended claims, and other reimbursement barriers
Research payer-related issues such as coverage questions, network concerns, and workers' compensation claim challenges
Reconcile accounts and address correspondence within established turnaround expectations to maintain efficient collections activity
Share weekly productivity updates and maintain organized documentation of billing follow-up efforts
Provide billing and eligibility guidance related to coding, payer requirements, and insurance coverage questions
Requirements:
At least 2 years of experience in medical billing, insurance reimbursement, account collections, or a closely related healthcare revenue cycle role
Previous experience working in a medical office or medical billing environment
4 to 5 years of experience is preferred
Working knowledge of medical terminology, billing practices, coding concepts, and insurance claim processing
Proficiency with Microsoft Excel and Microsoft Word
Strong customer service and communication skills with the ability to interact professionally with patients and payer representatives
High school diploma or equivalent is required
Relevant billing or coding certification is preferred
Experience with eClinicalWorks is an advantage
Nice to have:
Experience with eClinicalWorks is an advantage
Relevant billing or coding certification is preferred