Medical Billing Specialist
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Job Description
Medical Billing Specialist managing medical billing and claims for healthcare services. Ensuring accuracy and timely processing within a remote work environment.
Responsibilities:
- Prepare and submit accurate medical claims to insurance companies
- Review and verify patient information, coding, and documentation
- Monitor claim status and follow up on unpaid or denied claims
- Identify and resolve billing discrepancies and rejections
- Post payments and reconcile accounts
- Verify insurance eligibility and benefits
- Communicate with insurance providers regarding claims and appeals
- Track outstanding balances and ensure timely collections
- Follow up on aging reports and unpaid claims
- Maintain accurate financial records and billing documentation
- Generate and send patient statements
- Respond to billing inquiries in a professional and timely manner
- Assist patients in understanding charges and payment options
- Maintain up-to-date patient and billing records
- Prepare regular billing and revenue reports
- Ensure compliance with healthcare regulations and company policies
- Accurately track time and workload as required
Requirements:
- Strong knowledge of medical billing procedures and terminology
- Excellent attention to detail and accuracy
- Ability to manage multiple clients and deadlines
- Professional communication and problem-solving abilities
- Ability to work independently in a remote environment
- Preferred
- Bilingual (English/Spanish)
- Experience working with multiple providers or practices
- Qualifications
- Associate’s or Bachelor’s degree in Healthcare Administration, Medical Billing, or related field (or equivalent experience)
- Minimum 2–4+ years of medical billing experience
- Experience with insurance claims, denial management, and revenue cycle processes
- Experience supporting Indigenous organizations, Indigenous-led businesses, or community-based clients is a strong asset
- Technical Skills
- Medical billing software (e.g., Kareo, AdvancedMD, or similar)
- EHR/EMR systems (experience with systems like JaneApp is a plus)
- Microsoft Office and/or Google Workspace
- Familiarity with clearinghouses and insurance portals
- Work Requirements
- Reliable high-speed internet, computer, and phone
- Ability to maintain HIPAA compliance and data security standards
- Available during business hours PST or EST Monday-Friday, unless otherwise agreed in writing with each client
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