Medical Billing Specialist

Position Summary The Medical Billing Specialist is responsible for managing the end-to-end medical billing process, ensuring accurate and timely submission of claims to insurance providers and government payers. This role requires a detail-oriented professional who can balance technical billing expertise with exceptional communication skills to resolve claim issues, maximize reimbursements, and maintain compliance with healthcare regulations . Need reliant on

STRONG A/R

background - insurance appeals, denial comprehension, and ability to work independently on A/R projects. Key Responsibilities Perform accurate posting of charges and completion of claims to payers. Submit billing data to appropriate insurance providers, ensuring adherence to payer guidelines. Process claims efficiently and follow up on outstanding balances to secure timely payment. Resolve claim denials through detailed analysis and effective communication with payers. Conduct Medicare and Medicaid reviews to ensure compliance with applicable regulations. Achieve maximum reimbursement for services provided through diligent claims management. Perform regular audits to maintain data accuracy and identify process improvements. Maintain, deploy, and report on billing programs to track productivity and revenue performance. Collaborate with healthcare providers to obtain necessary documentation and authorizations. Soft Skills Strong verbal and written communication skills for interacting with patients, payers, and internal teams. Ability to multitask and manage competing priorities effectively. Proficiency in basic computer functions, including email, typing, and spreadsheet use. Creative problem-solving abilities for resolving billing challenges. Capacity to work independently and as part of a collaborative team. Qualifications Associate's degree or higher in a related field. Minimum of 3 years of experience in medical billing or coding. Proficiency in electronic medical records (EMR) and advanced billing software (e.g., Epic, Cerner, Meditech, eCW). Strong preference given to those who have expertise in e-clinicalworks (eCW). In-depth understanding of

ICD-10, CPT

coding, and payer reimbursement policies. Proven track record in managing full-cycle billing processes with a high claim acceptance rate. Knowledge of healthcare compliance regulations, including Medicare and Medicaid requirements. Preferred Experience Managed full-cycle billing for a variety of healthcare providers. Achieved measurable revenue recovery improvements through billing best practices. Experience conducting in-depth claim audits and payer policy analysis. Work Environment This position will be fully on site per company policy. The role involves frequent interaction with insurance companies, healthcare providers, and patients, requiring professionalism and discretion at all times.

Why Join Us:

Competitive pay and benefits. Supportive, collaborative team environment. Opportunities for growth and skill development.

Job Type:

Full-time Pay:

$17.00 - $24.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Experience:

Medical billing: 3 years (Required) e

ClinicalWorks:

2 years (Preferred) Ability to

Commute:

White Marsh, MD 21162 (Required)

Work Location:

In person