Medical Billing Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Execute the daily billing process and ensure its successful completion.

• Review and rectify claims returned by the clearinghouse, payers, or through internal edits.

• Investigate and follow up on billing errors returned by payers, collaborating with team members and supervisors to achieve resolution.

• Recommend necessary changes to billing components for payers.

• Generate reports such as discharge-not-final-billed and billing exceptions to guarantee accurate account classification and final billing.

• Address billing requests for claims that have not been received by payers and submit corrected claims accordingly.

• Review and update demographic, guarantor, and insurance information from registration processes.

• Monitor company claims to ensure successful transmission and receipt.

• Participate in required staff and company-sponsored meetings.

• Carry out additional assigned responsibilities.

⛳️ Requirements

• High School Diploma or GED is required.

• A minimum of 3 years of medical billing experience is required.

• In-depth knowledge of the UB-04/CMS-1450 claim form is required.

• Familiarity with state and Federal payment laws is required.

• Experience with a 10-key adding machine is required.

• Proficiency in Microsoft Office (including Word, Excel, and Outlook) is required.

• Fluency in English, with strong written and oral communication skills.

• Willingness and capability to work overtime.

🏝️ Benefits

• Equal access to information, development, and opportunities.

• Participation in staff meetings and company-sponsored or mandated gatherings.

• Opportunities for overtime work.