Medical Billing Representative
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Job Description
Medical Billing Representative handling insurance claims and payment processing for healthcare providers. Focus on accurate billing practices in a fully remote setting during US business hours.
Responsibilities:
- Prepare and submit clean, accurate claims to insurance companies via electronic systems, mail, or fax.
- Respond to inquiries from providers, staff, and insurance companies regarding billing concerns.
- Identify, troubleshoot, and resolve billing discrepancies or complaints.
- Review accounts and recommend next steps to the Billing Team Lead for resolution or escalation.
- Perform collection activities including follow-ups, claim corrections, and resubmissions to third-party payers.
- Process insurance payments and maintain accurate daily deposit records.
- Generate and maintain daily, weekly, and monthly billing and collection reports.
- Participate in mandatory monthly staff meetings.
- Maintain strict confidentiality of patient health information and ensure full compliance with HIPAA regulations.
Requirements:
- 1–3 years of proven experience in medical billing and collections.
- Proficiency in Electronic Medical Record (EMR) systems.
- Strong understanding of healthcare billing codes (CPT, ICD-10) and claims submission procedures.
- Familiarity with medical coding, third-party payer operations, and healthcare collections.
- Working knowledge of HIPAA and PHI confidentiality standards.
- High attention to detail and ability to create consistent financial workflows.
- Excellent communication skills for engaging with providers, staff, and documentation teams.
- Strong interpersonal skills and ability to thrive in a collaborative team environment.
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