Medical Billing Specialist

Job Description

Job Description

We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team. This contract opportunity with permanent potential is ideal for someone who can manage billing activities with accuracy, support timely reimbursement, and provide responsive service to patients and payers. The role involves a mix of claims processing, account follow-up, payment reconciliation, and coordination with internal staff to keep billing operations running smoothly.

Responsibilities:
• Prepare and submit insurance claims accurately, ensuring accounts move to billable status without unnecessary delays.
• Record insurance, contractual, and patient payments in the practice management system while maintaining precise financial data.
• Investigate missing remittances, denials, rejections, and payer recoupments by coordinating with clearinghouses and insurance carriers.
• Reconcile daily deposits and complete payment posting documentation within established timelines.
• Review credit balances and work queues to determine appropriate refunds or account adjustments.
• Update patient demographics and insurance information, and obtain any missing records needed for clean claim submission.
• Follow up on outstanding accounts receivable, address billing discrepancies, and respond to patient questions including payment plan support.
• Complete provider enrollment and recredentialing activities, maintain contract data, and monitor application progress to avoid reimbursement interruptions.
• Assist with coding and outpatient documentation reviews to support compliant billing and accurate charge capture.
• Support dental-related administrative billing tasks such as prior authorizations, treatment estimate preparation, claim attachments, and point-of-service collections.• High school diploma or equivalent required.
• At least two years of experience in medical insurance billing is preferred.
• Working knowledge of medical billing, claims follow-up, collections, and coding practices including ICD-10.
• Familiarity with practice management systems, payer portals, and electronic payment posting processes.
• Ability to handle account research, resolve billing issues, and manage multiple priorities with strong attention to detail.
• Effective written and verbal communication skills for working with patients, providers, payers, and internal teams.
• Strong computer proficiency, including spreadsheet tracking and general office software use.
• Commitment to maintaining confidentiality and handling protected health information with discretion.