OBGYN Billing Specialist

OBGYN Billing Specialist Cary, NC Job Details Full-time $21 - $22 an hour 17 hours ago Benefits Health savings account Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Qualifications Collaborate with healthcare professionals Financial data reconciliation Medicare Insurance verification Electronic health records (EHR) management Achieving HIPAA compliance Financial transaction processing Phone communication Healthcare Administration Regulatory compliance in claims processing HIPAA Mid-level High school diploma or

GED ICD-10 HCPCS

Debt collection payment plan Payment posting in medical billing systems Organizational skills Patient billing Patient interaction Associate's degree Medical claim denial management Communication skills Full Job Description OBGYN Billing Specialist Triangle Physicians for

Women Cary NC Department:

Revenue Cycle /

Billing Reports To:

Billing Supervisor Location:

OBGYN Care Center Status:

Full-Time Position Summary The Billing Specialist is responsible for supporting the revenue cycle functions of the OBGYN Care Center by ensuring accurate and timely billing, payment posting, and claim follow-up. This position will work collaboratively with a team of five billing specialists to maintain efficient billing processes, resolve claim issues, and ensure compliance with payer requirements and healthcare regulations. The Billing Specialist plays a key role in maintaining the financial health of the practice while providing excellent service to patients and internal staff. Key Responsibilities Billing & Claims Processing Ensure appropriate coding information is present for obstetrics and gynecology services prior to claim submission. Verify patient insurance information and confirm coverage requirements when necessary. Monitor claim status and address claim rejections or denials promptly. Accounts Receivable Management Follow up on outstanding claims with insurance companies and patients. Investigate and resolve claim denials, underpayments, and billing discrepancies. Work assigned accounts receivable work queues to ensure timely reimbursement. Payment Posting Post insurance and patient payments accurately and reconcile payment batches. Identify and escalate payment discrepancies or contractual variances. Patient Billing Support Assist with patient billing inquiries and provide clear explanations of charges and balances. Work with patients regarding payment plans or account resolution when appropriate. Compliance & Documentation Maintain compliance with HIPAA, payer guidelines, and regulatory requirements. Ensure documentation and billing practices align with established policies and procedures. Team Collaboration Work closely with the billing team and clinical staff to resolve billing issues. Communicate trends related to claim denials, payer changes, or billing challenges. Support team initiatives to improve billing efficiency and revenue cycle performance. Cross covers team when required. Qualifications Education High school diploma or equivalent required. Associate's degree in healthcare administration, Medical Billing, or related field preferred. Experience Minimum 2-3 years of medical billing experience in a physician practice setting preferred. Experience with OBGYN or specialty practice billing strongly preferred. Knowledge of insurance guidelines including Medicare, Medicaid, and commercial payers . Skills & Competencies Strong understanding of medical billing procedures and revenue cycle processes . Familiarity with CPT, ICD-10, and HCPCS coding structures . Experience using Electronic Medical Record (EMR) and practice management systems . Strong attention to detail and organizational skills. Ability to work independently and collaboratively in a team-based billing environment . Excellent communication and problem-solving abilities. Work Environment This position functions in a professional healthcare office setting and requires collaboration with clinical staff, administrative personnel, and patients. The Billing Specialist will join an established billing team and contribute to maintaining efficient and accurate revenue cycle operations. If you'd like, I can also create: A more advanced Senior Billing Specialist description Performance metrics/KPIs for the role Interview questions for hiring a billing specialist An OBGYN-specific revenue cycle responsibility list (which many practices add to job postings). Work environment is that the position is fully remote Here is the revised job description with a fully remote work environment included and written in a way that is appropriate for a healthcare practice:

Billing Specialist Department:

Revenue Cycle /

Billing Reports To:

Billing Manager or Practice Administrator Location:

Remote (OBGYN Care Center)

Status:

Full-Time Position Summary The Billing Specialist is responsible for supporting the revenue cycle operations of the OBGYN Care Center by ensuring accurate and timely billing, payment posting, and claim follow-up. This position works collaboratively with a team of five billing specialists to maintain efficient billing processes, resolve claim issues, and ensure compliance with payer requirements and healthcare regulations. The Billing Specialist plays a critical role in maintaining the financial health of the practice while providing excellent service to patients and internal staff. Key Responsibilities Billing & Claims Processing Prepare, review, and submit accurate electronic and paper claims to insurance carriers. Ensure appropriate coding information is present for obstetrics and gynecology services prior to claim submission. Review encounters and verify required documentation for claim submission. Monitor claim status and address claim rejections or denials in a timely manner. Accounts Receivable Management Follow up on outstanding insurance claims to ensure timely reimbursement. Investigate and resolve claim denials, underpayments, and billing discrepancies. Work assigned accounts receivable work queues within the practice management system. Payment Posting Accurately post insurance and patient payments. Reconcile payment batches and identify discrepancies when necessary. Ensure contractual adjustments and payer-specific payment policies are correctly applied. Patient Billing Support Respond to patient billing inquiries via phone or secure messaging. Provide clear explanations of charges, balances, and insurance processing. Assist patients with payment arrangements when appropriate. Compliance & Documentation Maintain compliance with HIPAA regulations and payer billing guidelines. Ensure all billing activities adhere to established practice policies and regulatory standards. Maintain accurate and secure documentation within the billing system. Team Collaboration Work closely with the billing team and clinical staff to resolve billing or claim-related issues. Communicate trends in claim denials or payer issues to leadership. Participate in remote team meetings and ongoing training initiatives. Qualifications Education High school diploma or equivalent required. Associate's degree in Healthcare Administration, Medical Billing, or related field preferred. Experience Minimum 2-3 years of medical billing experience in a physician practice setting preferred. Experience with OBGYN or specialty practice billing strongly preferred . Knowledge of Medicare, Medicaid, and commercial insurance billing guidelines . Skills & Competencies Strong understanding of medical billing procedures and revenue cycle processes . Familiarity with CPT, ICD-10, and HCPCS coding structures . Experience with Electronic Medical Record (EMR) and practice management systems . Strong attention to detail and organizational skills. Excellent communication and problem-solving abilities. Ability to work independently in a remote environment while meeting productivity expectations. Work Environment This position is fully remote and requires the ability to work independently while collaborating with a virtual billing team. The employee must maintain a secure and HIPAA-compliant home office environment , reliable internet connectivity, and the ability to participate in virtual meetings and team communications. Regular interaction with billing staff, leadership, and occasionally patients will occur via phone, secure messaging platforms, and video conferencing.

Pay:

$21.00 - $22.00 per hour Expected hours: 36.0 per week

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Health savings account Paid time off Vision insurance

Work Location:

Hybrid remote in Cary, NC 27518