Billing Specialist

American Family Care Norfolk Janaf

Billing Specialist

Norfolk, VA
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k)

    401(k) matching

    Competitive salary

    Health insurance

    **Key Responsibilities: **

    • Prepare, review, and submit medical claims (electronic and paper) to insurance companies and third-party payers.

    • Verify insurance coverage, eligibility, and patient demographics prior to claim submission.

    • Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim denials.

    • Identify, research, and resolve claim rejections or denials promptly.

    • Conduct timely and professional follow-up with insurance companies and patients on unpaid or underpaid claims.

    • Post payments, adjustments, and reconcile accounts accurately in the practice management system.

    • Communicate with providers and clinical staff regarding missing or incomplete documentation impacting billing.

    • Maintain knowledge of current CPT, ICD-10, and HCPCS codes, as well as payer policies and reimbursement guidelines.

    • Generate aging reports and assist in collections efforts as needed.

    • Ensure confidentiality and compliance with HIPAA regulations in all billing activities.

    Qualifications:

    • High school diploma or equivalent required; Associate’s degree or certification in medical billing/coding preferred.

    • 1–3 years of experience in medical billing, collections, or revenue cycle management.

    • Strong understanding of medical terminology, coding systems, and insurance claim processes.

    • Excellent attention to detail, problem-solving, and organizational skills.

    • Effective communication and customer service skills.

    • Proficiency with electronic health records (EHR) and billing software.