Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Tuition assistance
Position Summary: We are seeking a Billing Specialist with experience handling complex claim denials and revenue cycle processes. The ideal candidate will have experience in medical billing operations, including claims review, denial management, and insurance follow-up to ensure accurate and timely reimbursement.
Required Experience
Minimum 1–2 years of experience in medical billing
Experience working with complex claim denials
Experience in one or more of the following areas preferred:
Medical Billing
Medical Coding
ERA/EOB Posting
Charge Posting
Key Responsibilities
Review all denied EOBs/ERAs and determine the best resolution to ensure claims are paid.
Document patient denials and maintain daily and monthly denial tracking reports in Excel.
Correct and resubmit claims with coding, demographic, or payer errors.
Generate and print weekly patient billing statements.
Coordinate with the Admin to obtain accurate registration, insurance, and billing information for emergency and acute admissions.
Update patient insurance policy information and registration details as needed.
Maintain and review weekly Accounts Receivable (AR) reports.
Identify unpaid claims by patient or payer and implement corrective actions to resolve them.
Generate, print, and mail paper claim forms for payers that do not accept electronic submissions.
Qualifications
Certified Medical Biller required
Minimum 1–2 years of medical billing experience
Strong knowledge of insurance claims processing and denial management
Proficiency in Microsoft Excel and billing software (ICanotes)
Strong attention to detail and organizational skills