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We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for preparing and submitting accurate medical claims, following up on unpaid claims, and ensuring timely reimbursement from insurance providers and patients. The ideal candidate has strong knowledge of medical billing processes, coding systems, and payer requirements, along with excellent organizational and communication skills.
Job Responsibility:
Prepare, review, and submit medical claims to insurance companies in a timely manner
Verify patient insurance coverage, eligibility, and benefits
Ensure accurate coding using CPT, ICD-10, and HCPCS codes
Follow up on unpaid or denied claims and resolve billing issues
Post payments, adjustments, and denials accurately into the system
Communicate with insurance companies and patients regarding billing questions or discrepancies
Maintain accurate and organized patient billing records
Work with internal teams to resolve documentation or coding issues
Support month-end reporting and reconciliation processes
Ensure compliance with healthcare regulations and billing guidelines
Requirements:
High school diploma or equivalent required
associate degree in medical billing, healthcare administration, or a related field preferred
1–3 years of experience in medical billing, coding, or healthcare revenue cycle
Knowledge of CPT, ICD-10, and HCPCS coding systems
Familiarity with insurance claims, EOBs, and denial management
Proficiency in medical billing software and Microsoft Excel
Strong attention to detail and accuracy
Excellent organizational and time management skills
Strong written and verbal communication skills
Ability to handle confidential patient information in compliance with HIPAA
Ability to work independently and as part of a team
What we offer:
medical, vision, dental, and life and disability insurance