Medical Billing Specialist (Healthcare)

Billing Specialist
Our Billing Specialist plays a crucial role by ensuring accurate and timely processing of medical claims. This person will primarily be responsible for handling billing and invoicing procedures, working closely with healthcare providers, insurance companies, and patients to facilitate smooth financial transactions.

This is a Remote position; however, all candidates considered for this position must currently reside within Central California.

Responsibilities

Prepares and submits clean claims to various insurance companies either electronically or by paper

Contacts Insurance companies regarding unpaid claims via rebill, appeals, or phone

Accepts in-coming phone calls for patient inquiries

Answers questions from patients, clerical staff and insurance companies via phone, email, and messaging portals

Identifies and resolves patient billing complaints

Prepares, reviews and sends patient statements as needed

Mails appropriate patient contact letters to resolve outstanding claims

Evaluates patients financial status and establishes budget payment plans

Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers

Utilizes Practice Management software and completes assigned AR and Patient tasking

Participates in educational activities and attends monthly staff meetings

Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

Performs other duties as assigned