Medical Billing Specialist

MED USA - 3.2

Sandy, UT Job Details Full-time $21 - $25 an hour 3 hours ago Benefits Health savings account Paid holidays Disability insurance Health insurance Dental insurance 401(k) Flexible spending account Paid time off Parental leave Vision insurance 401(k) matching Flexible schedule Life insurance Referral program Qualifications Computer operation Teamwork Financial data reconciliation HIPAA compliance Medicare Accounts receivable management Payment processing Health insurance policy knowledge HIPAA Financial issue resolution High school diploma or GED Attention to detail Medical billing Organizational skills Medicaid Medical billing account reconciliation Typing Productivity software Video conferences (communication methods) Clinical confidentiality policies Grammar Experience Medical terminology Patient collections management Analytics Full Job Description About Med USA Med USA is a Utah-based medical billing and provider services company with a nationwide presence. For more than 47 years, we have partnered with healthcare organizations to provide practice management, payer credentialing and contracting, and full-cycle Revenue Cycle Management (RCM) services, including coding, billing, follow-up, and denial resolution. Join our collaborative and fast-paced team where you'll have the opportunity to make a meaningful impact, expand your revenue cycle expertise, grow your career, and support healthcare organizations across the country. Position Summary The Medical Billing & Revenue Cycle Specialist is responsible for managing and resolving revenue cycle issues including follow-up, denials, rejections, appeals, reimbursement discrepancies, insurance research, account resolution, payment posting, and payment recovery activities. The ideal candidate has a strong understanding of medical billing, insurance claims processing, payer requirements, and revenue cycle workflows. They are able to investigate account issues, identify root causes, navigate payer requirements, and take appropriate action to support timely and accurate reimbursement. This position works collaboratively with billing teams, account managers, providers, clients, patients, insurance representatives, and leadership while maintaining a high standard of customer service, compliance, quality, and productivity. Knowledge of medical coding principles is beneficial and may be utilized to assist with claim resolution and denial management when appropriate. Billing Resolution & Revenue Recovery Investigate and resolve denied, rejected, underpaid, and unpaid claims. Review claim details, payer responses, billing information, and supporting documentation to identify causes of reimbursement delays. Research payer policies, billing requirements, and claim processing guidelines. Identify trends contributing to denials and payment delays and communicate findings to appropriate team members. Assist with appeals, reconsiderations, claim corrections, and rebilling activities. Support revenue recovery efforts through effective follow-up and account resolution. Collaborate with internal departments to address billing and reimbursement concerns. Utilize knowledge of coding principles as needed to identify claim issues impacting payment outcomes. Remain current on payer requirements, reimbursement policies, and industry changes affecting claim processing. Maintain accurate account documentation and follow-up activities. Answer inbound phone calls from patients and insurance companies. Assist patients with resolving account balances by explaining insurance-related issues, obtaining necessary information, and establishing payment arrangements when appropriate. Demonstrate initiative by taking ownership of assigned work, embracing new challenges, collaborating effectively with team members, supporting departmental needs, and identifying opportunities to improve processes and outcomes. Duties and responsibilities may be modified as directed by management. Required Qualifications High school diploma or equivalent required. Minimum one (1) year of professional medical billing, insurance follow-up, accounts receivable, denial management, or Revenue Cycle Management experience required. Strong knowledge of medical billing processes and insurance claim lifecycle management. Experience investigating and resolving account and reimbursement issues. Working knowledge of commercial insurance, Medicare, Medicaid, and payer reimbursement processes. Experience with charge entry, payment posting, account reconciliation, and banking/payment balancing processes. Understanding of medical terminology and healthcare reimbursement concepts. Strong analytical and problem-solving skills. Dependability and a strong work ethic. Excellent computer, keyboarding, spelling, and grammar skills. Ability to work efficiently and effectively with minimal supervision. Strong written and verbal communication skills. Proficiency with Microsoft Office applications. Ability to maintain HIPAA compliance and confidentiality. Strong organizational skills with the ability to manage multiple priorities, deadlines, and account inventories. Preferred Qualifications Professional medical coding certification such as CPC, CCS, COC, or equivalent. Experience identifying coding-related claim issues affecting reimbursement. Experience with denials, appeals, and payer dispute resolution. Experience using Athenahealth (AthenaNet) and/or AdvancedMD. Experience working with multiple specialties and payer types. Experience within a physician practice, healthcare system, RCM company, or medical billing organization. Knowledge of end-to-end revenue cycle management processes. Experience analyzing reimbursement trends and recommending process improvements. Basic understanding of ICD-10, CPT, and HCPCS coding concepts.

Success in this role requires:

Strong medical billing and revenue cycle knowledge Ability to navigate complex reimbursement and account resolution challenges Consistent accuracy and attention to detail Analytical and critical-thinking abilities Strong communication and customer service skills Reliability, accountability, and a commitment to follow-through Ability to identify trends and recommend solutions Commitment to compliance and confidentiality Working knowledge of medical coding concepts that support billing accuracy and reimbursement outcomes. Performance Expectations Maintain established productivity, quality, and accuracy standards. Manage assigned accounts, work queues, and follow-up activities in a timely and organized manner. Maintain accurate, complete, and compliant account documentation. Demonstrate professionalism, accountability, and responsiveness in interactions with patients, clients, payers, and team members. Consistently meet deadlines while balancing multiple priorities and responsibilities. Contribute to departmental and organizational goals through collaboration, problem-solving, and continuous improvement efforts Physical Requirements Prolonged periods of sitting and working at a computer. Ability to review detailed account records, billing documentation, payer communications, and supporting healthcare documentation for extended periods. Ability to communicate effectively by phone, email, video conference, and other business communication methods. Ability to maintain focus, accuracy, and productivity while working with detailed information. Compensation & Benefits Compensation based on experience, qualifications, and applicable certifications. Med USA offers a comprehensive benefits package, including: Health insurance Dental insurance Vision insurance 401(k) with company matching Disability insurance Life insurance HSA/FSA Paid time off Paid company holidays Parental leave Flexible scheduling Hybrid work opportunity Professional development and continuing education opportunities Collaborative and supportive team environment Schedule & Work Location Full-time Monday-Friday 8-hour shift Hybrid work opportunity

Sandy, Utah Job Type:

Full-time Pay:

$21.00 - $25.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Referral program Vision insurance Application Question(s): Are you able to work onsite on a regular basis at our Med USA office in Sandy, UT (84070)? Please list any of the following areas in which you have professional experience: Medical Billing, Accounts Receivable (A/R), Insurance Follow-Up, Denial Management, Appeals and Reconciliations, Payment Posting, Charge Entry, Patient Collections, Revenue Cycle Management (RCM), and Medical Coding. If none apply, please enter "None." Please list all payer types you have professional experience working with: Medicare, Medicaid, Commercial/Private Insurance, Managed Care, Workers' Compensation, Tricare, and/or other payer types. If applicable, please include any additional payer types not listed above. If you do not have experience with any of these payer types, please enter "None." Do you have experience using Athenahealth (AthenaNet) and/or AdvancedMD (AMD)? Which healthcare software systems have you used professionally? Do you have experience communicating directly with insurance carriers regarding claim status, appeals, reimbursement issues, or account resolution? Do you currently hold any healthcare-related certifications? (CPC. CCS, CPB, etc.) If yes, please list the certification(s) and credentialing organization.

Education:

High school or equivalent (Required)

Experience:

Medical billing: 1 year (Preferred)

Work Location:

Hybrid remote in Sandy, UT 84070