Job Description

Medical Billing Specialist

We are seeking a detail-oriented and versatile Medical Billing Specialist to support our Central Business Office. This role focuses heavily on claims management, denial resolution, and working aging insurance and patient balances to ensure timely and accurate reimbursement.

Key Responsibilities:

1. Submit, track, and follow up on insurance claims
2. Investigate and resolve denied or rejected claims; submit appeals as needed
3. Work aging reports and accounts receivable to reduce outstanding balances
4. Determine appropriate next steps for unpaid accounts, including when to escalate or send to collections
5. Communicate with insurance companies and patients to resolve billing issues
6. Collect patient payments and set up payment plans when necessary
7. Accurately document all account activity and maintain compliance standards

Qualifications:

• 2+ years of medical billing and claims follow-up experience
• Strong knowledge of denial management and A/R processes
• Understanding of insurance guidelines, collections processes, and patient billing
• Excellent problem-solving, communication, and organizational skills
• Proficiency in EPIC is preferred
• Knowledge of OB/GYN billing is a plus but not required

What We're Looking For:

Someone who is proactive, accountable, and confident in managing claims from submission through resolution while maintaining a strong focus on collections and patient satisfaction.

Why Join Us:

• Stable, team-oriented Central Business Office environment

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