Medical Billing Specialist This position supports the full Revenue Cycle by managing insurance claims, billing processes, claim follow-up, denial resolution, insurance verification, and patient billing inquiries. The ideal candidate should have experience working within a medical billing environment and understand the AR lifecycle from claim submission through reimbursement.
Responsibilities include billing for our Urgent Care Centers using our internal software, setting up insurance plans within our software, performing insurance verification, following up on claims, including rerouting and resubmitting claims, working with the Revenue Cycle Management to identify and resolve issues related to billing, coding and the billing system and process flow, interfacing with clinic staff on billing and coding issues, interfacing with patients on billing questions, interfacing with appropriate members of revenue cycle regarding coding or cash posting errors, daily completion of clearinghouse rejections, and knowledge of third-party payors reimbursement.
Minimum qualifications include:
1+ years of experience in medical billing preferred, Urgent Care Billing experience is a plus.
Required skills include knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims, knowledge of medical terminology and billing practices, excellent computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software, energy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment, ability to work within a team environment and maintain a positive attitude, excellent documentation, verbal, and written communication skills, extremely organized with a strong attention to detail, motivated, dependable, and flexible with the ability to handle periods of stress and pressure, all other duties as assigned.
The strongest candidates will have hands-on healthcare AR experience, understand claim denial management, be comfortable working payer accounts, possess strong insurance knowledge, and demonstrate success in collecting reimbursement and resolving billing issues in a fast-paced environment. Urgent Care or physician practice billing experience would be a significant advantage.
