Medical Billing Specialist The Center for Sleep and TMJ Virginia Beach, VA Job Details Full-time $21 - $26 an hour 18 hours ago Benefits Health insurance Paid time off Qualifications Appeals Medicare Research Attention to detail Documentation review Full Job Description We are seeking an experienced, dependable, and detail-oriented Medical Biller to join our team. This position will be responsible for the complete medical billing cycle—from filing claims through payment and resolution. We are looking for someone who takes ownership of their claims, follows through consistently, and understands that a claim is not complete simply because it has been submitted. Primary Responsibilities Prepare, review, and submit medical insurance claims accurately and timely Verify claims contain the appropriate diagnosis codes, procedure codes, provider information, and required documentation before submission Submit supporting documentation and attachments when required Monitor submitted claims to ensure they are received and processed by insurance companies Work outstanding Accounts Receivable (A/R) and aging reports Research and resolve unpaid, underpaid, rejected, and denied claims Correct and resubmit rejected or improperly processed claims Prepare and submit appeals and reconsiderations Follow up directly with insurance companies regarding claim status, processing issues, and payment Review EOBs and ERAs for payment accuracy Identify incorrect payments, contractual discrepancies, and underpayments Follow up on claims requiring additional documentation, medical records, or information Document insurance calls, reference numbers, claim activity, and follow-up actions thoroughly Maintain consistent follow-up on outstanding claims until they are paid or appropriately resolved Identify recurring denial trends and bring billing or documentation issues to management's attention Maintain accurate and organized billing records Meet established A/R, claims-processing, and collection goals Qualifications Previous medical billing experience required Experience filing medical insurance claims Strong experience working A/R, denials, appeals, rejected claims, and insurance follow-up Knowledge of medical insurance reimbursement and claim-processing requirements Ability to read and understand EOBs and ERAs Comfortable communicating directly with insurance companies Strong problem-solving and investigative skills Excellent attention to detail and follow-through Ability to independently manage a high volume of claims and outstanding accounts Strong organizational and documentation skills Experience with Medicare, commercial insurance, Anthem/BCBS, Tricare, VA, DME billing, or sleep medicine/oral appliance billing is highly preferred. What We Are Looking For We need someone who understands the entire life cycle of a medical claim: File it → Track it → Follow up → Correct it → Appeal when necessary → Collect payment. The right candidate will not simply submit a claim and wait for payment. We are looking for someone who actively monitors claims, identifies problems, contacts insurance companies, works denials and appeals, and follows each account through to resolution. You should be persistent, organized, accountable, and comfortable taking ownership of your A/R. If a claim is not paid correctly, we expect you to determine why and take the appropriate next step. If you have strong medical billing experience and enjoy investigating and resolving insurance claims, we would love to hear from you.

Pay:

$21.00 - $26.00 per hour Expected hours: 32.0 - 36.0 per week

Benefits:

Health insurance Paid time off

Work Location:

In person