Medical Billing and Collections Specialist

Job Overview
We are seeking a dynamic and detail-oriented Medical Billing and Collections Specialist with 3-5 years required experience to join our healthcare team. In this vital role, you will be responsible for managing the full cycle of medical billing processes, ensuring accurate coding, timely submission of claims, and effective collection of outstanding balances. Your expertise will directly impact the financial health of our practice while providing exceptional service to our patients. If you thrive in a fast-paced environment, possess strong knowledge of medical coding and billing procedures, and are passionate about healthcare finance, this opportunity is perfect for you!

Duties

• Prepare and submit accurate insurance claims using CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) coding standards to various payers.
• Review medical records and documentation to ensure proper coding accuracy and compliance with billing guidelines.
• Follow up on unpaid or denied claims promptly to maximize reimbursements through effective appeals and resubmissions.
• Communicate professionally with insurance companies, patients, and healthcare providers to resolve billing discrepancies and collection issues.
• Maintain detailed records of all billing activities within Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.
• Monitor aging accounts receivable to identify overdue payments and initiate collection procedures for outstanding balances.
• Stay current with changes in medical coding standards, insurance policies, and healthcare regulations to ensure compliance.

Requirements

• Proven experience in medical billing, collections, or related healthcare finance roles with a strong understanding of medical terminology and records management.
• Familiarity with medical coding including CPT coding, ICD-9/10 coding systems, DRG classifications, and ICD coding standards.
• Experience working with EMR/EHR systems for billing and record keeping.
• Knowledge of medical office procedures, insurance claim processes, and patient account management.
• Strong communication skills to effectively liaise with insurance providers, patients, and internal teams.
• Ability to analyze accounts receivable data to identify trends and implement collection strategies.
• Attention to detail with a focus on accuracy in coding and documentation compliance.
• Minimum 3 years experience required

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the law. -5826

Pay: $24.00 - $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person