Medical Billing Specialist

Medical Billing Specialist

Location: Fargo, ND (In-Person)

Job Type: Full-Time

Pay Range: $18.00–$25.00 per hour

About the Role

We are seeking a detail-oriented and dependable Medical Billing Specialist to join our growing healthcare team in Fargo, North Dakota. This position plays a critical role in supporting the financial health of our organization by ensuring accurate claim submission, timely reimbursement, and exceptional patient service.

The ideal candidate has prior medical billing experience, strong problem-solving skills, initiative, and a collaborative work ethic. They are confident in working with insurance claims, billing processes, revenue cycle management, and EHR systems while contributing to a mission-driven healthcare organization.

Key Responsibilities

Claims Management & Reimbursement

• Prepare, review, and submit accurate medical claims to commercial insurance carriers, Medicare, Medicaid, Tricare, and other third-party payers.
• Audit claims for completeness and accuracy prior to submission.
• Monitor claim status and perform follow-up on unpaid, delayed, denied, or rejected claims.
• Research claim issues and coordinate appeals to maximize reimbursement.
• Document all follow-up activities and claim actions within patient account records.

Insurance Verification & Eligibility

• Verify patient insurance eligibility and benefits prior to services.
• Identify authorization and referral requirements when applicable.
• Confirm coverage limitations and patient financial responsibility.

Patient Billing & Customer Service

• Generate and distribute patient statements.
• Assist patients with billing questions, insurance explanations, account balances, and payment options.
• Explain Explanation of Benefits (EOBs) and patient financial obligations in a professional manner.

Payment Posting & Account Reconciliation

• Post insurance payments, patient payments, contractual adjustments, and corrections accurately.
• Reconcile account balances and investigate discrepancies.
• Maintain accurate billing and payment records.

Compliance & Reporting

• Ensure compliance with HIPAA regulations and payer requirements.
• Maintain confidentiality of patient information at all times.
• Stay current on billing regulations, coding updates, and reimbursement guidelines.
• Prepare reports and billing-related documentation as requested.

Qualifications

Required

• High school diploma or equivalent.
• Minimum 1–3 years of medical billing experience in a clinic, hospital, or healthcare billing environment.
• Experience with medical billing software and Electronic Health Record (EHR) systems.
• Knowledge of medical terminology and healthcare reimbursement processes.
• Familiarity with ICD-10, CPT, and HCPCS coding systems.
• Understanding of Medicare, Medicaid, commercial insurance, and coordination of benefits.
• Strong attention to detail and organizational skills.
• Excellent communication and customer service abilities.
• Ability to multitask and prioritize work in a fast-paced environment.
• Proficiency with computers.
• Ability to maintain confidentiality and professionalism when handling sensitive information.

Preferred

• Certified Professional Biller (CPB), Certified Billing & Coding Specialist (CBCS), or similar credential.

Benefits

• Medical, Dental & Vision Insurance
• Short Term Disability Insurance
• Retirement
• Paid Time Off (PTO)
• Paid Holidays

Pay: $18.00 - $25.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person