Medical Billing Specialist

The Medical Billing Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies. This role involves verifying patient and billing information, editing claims for compliance, resolving denials, and communicating with both payers and internal teams.

Job Description

• Utilize various hospital/physician systems to verify patient, billing, and claim information for accuracy.
• Perform compliant primary/secondary, tertiary, and rebill billing functions across electronic, paper, and portal platforms.
• Edit claims to meet payer-specific compliance requirements (electronic and hardcopy).
• Respond timely to email and telephone messages as appropriate.
• Communicate claim issues to management, payers, system contacts, or escalated account owners.
• Participate in department training seminars and in-services to expand job knowledge.
• Serve and protect the hospit...