healthcare billing specialist

Speak Viral

We are seeking a detail-oriented and organized Medical Billing Specialist to manage billing processes, insurance claims, and payment collections for our healthcare facility. The ideal candidate will ensure accurate billing, timely claim submissions, and compliance with healthcare regulations while maintaining excellent communication with patients, insurance providers, and internal teams.Key Responsibilities<ul><li>Prepare, review, and submit medical claims to insurance companies and government payers.</li><li>Verify patient insurance coverage and eligibility.</li><li>Review patient bills for accuracy and completeness before submission.</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies.</li><li>Post payments from insurance companies and patients.</li><li>Maintain accurate billing records and documentation.</li><li>Communicate with patients regarding billing inquiries, payment plans, and account balances.</li><li>Work with coding staff to ensure correct use of medical codes (ICD-10, CPT, HCPCS).</li><li>Ensure compliance with healthcare billing regulations and privacy laws (HIPAA).</li><li>Generate billing reports and assist with revenue cycle management.</li></ul>Required Qualifications<ul><li>High school diploma or equivalent (Associate degree in Healthcare Administration or related field preferred).</li><li>Proven experience as a Medical Billing Specialist or in medical billing and coding.</li><li>Knowledge of medical billing procedures, insurance guidelines, and claim management.</li><li>Familiarity with ICD-10, CPT, and HCPCS coding systems.</li><li>Proficiency in medical billing software and electronic health records (EHR) systems.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and problem-solving abilities.</li></ul>Preferred Skills<ul><li>Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS).</li><li>Experience with Medicare, Medicaid, and commercial insurance billing.</li><li>Ability to manage multiple tasks and meet deadlines in a fast-paced environment.</li><li>Strong analytical and reconciliation skills.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs75,000.00 per monthWork Location: In person

Medical Billing Specialist

National HealthCare Corporation

<div>Job Title: Billing Specialist &ndash; Skilled Nursing

Location: Murfreesboro, TN

Job Type: Full-time

We are seeking a highly skilled and detail-oriented individual to join our team as a Billing Specialist for our Skilled Nursing facilities. As a vital member of our healthcare administrative staff, you will play a crucial role in ensuring accurate and timely billing processes for our skilled nursing facilities.

Responsibilities:
<div>
<ul><li>Billing and Invoicing: Generate and prepare financial responsibility notifications for skilled nursing services provided to residents, ensuring accuracy and completeness.</li></ul>
<ul><li>Insurance Claims: Prepare and submit insurance claims for reimbursement, adhering to insurance guidelines and regulations.</li></ul>
<ul><li>Documentation: Review admission documentation to ensure that all services are properly recorded for billing purposes.</li></ul>
<ul><li>Follow-up: Track and follow up on outstanding accounts receivable, addressing any billing discrepancies or issues.</li></ul>
<ul><li>Communication: Collaborate with healthcare facilities, insurance companies, and internal teams to resolve billing inquiries and disputes.</li></ul>
</div>
Qualifications:
<div>
<ul><li>Experience: Experience not required. Attitude is everything.</li></ul>
<ul><li>Education: High school diploma or equivalent</li></ul>
<ul><li>Knowledge: Proficient in Microsoft Office products.</li></ul>
<ul><li>Detail-Oriented: Strong attention to detail and accuracy in billing processes.</li></ul>
<ul><li>Communication Skills: Excellent verbal and written communication skills, with the ability to interact effectively with diverse stakeholders.</li></ul>
<ul><li>Team Player: Ability to collaborate with a multidisciplinary team and work in a fast-paced healthcare environment.</li></ul>
<ul><li>Adaptability: Willingness to adapt to changes in healthcare billing regulations and industry practices.</li></ul>
</div>
If you are motivated and looking to contribute to the efficient and effective billing operations of our skilled nursing facilities, we invite you to apply.

National HealthCare Corporation is an equal opportunity employer and encourages candidates from all backgrounds to apply.</div>

Billing Specialist – Skilled Nursing

Trilogy Quality Assurance

Job Overview We are seeking a detail-oriented and energetic Billing Specialist with Home Health experience to join our dynamic healthcare team. In this role, you will be responsible for managing the billing process for home health services, ensuring accurate and timely submission of claims, and maintaining compliance with industry standards. Your expertise will help optimize revenue cycles while providing exceptional support to our healthcare providers and patients. If you thrive in a fast-paced environment and have a passion for healthcare billing, this is an excellent opportunity to make a meaningful impact.Responsibilities<ul><li>Prepare and submit medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.</li><li>Must have experience with Kentucky Medicaid, Medicare Advantage, Medicaid Advantage, Commercial.</li><li>Cash Posting, Billing reports</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems to access patient information and process billing transactions efficiently.</li><li>Verify insurance coverage, benefits, and authorizations to facilitate smooth claim processing.</li><li>Follow up on unpaid or denied claims through medical collections processes, working diligently to resolve discrepancies.</li><li>Maintain detailed records of billing activities, claim submissions, adjustments, and payments for audit purposes.</li><li>Stay current with industry regulations, coding updates, and payer policies to ensure compliance and maximize reimbursement.</li></ul>Experience<ul><li>Proven experience in medical billing within a home health setting is required, Palliative and Hospice experience a plus</li><li>Strong knowledge of medical coding including CPT coding, ICD-9, ICD-10, ICD coding, and DRG classifications.</li><li>Familiarity with medical terminology, medical records management, and the intricacies of medical office workflows.</li><li>Hands-on experience with EMR/EHR systems used in home health agencies or similar healthcare environments.</li><li>Demonstrated ability to handle medical collections effectively while maintaining professionalism.</li><li>Excellent attention to detail combined with strong organizational skills to manage multiple billing tasks simultaneously.</li><li>Prior experience working with Medicare, Medicaid, or private insurance payers is highly preferred. Join us in delivering exceptional healthcare services by ensuring accurate billing processes that support our mission of compassionate patient care!</li></ul>Pay: $21.50 - $24.50 per hourWork Location: Remote

Billing Specialist- Home Health- Kentucky Medicaid experience REQUIRED

Puzzle Box Academy

<div>Overview 
We are seeking a dynamic and detail-oriented Billing Claims Specialist to join our healthcare administration team. In this vital role, you will be responsible for managing the end-to-end process of medical billing and claims submission, ensuring accuracy and timeliness. 
Your expertise will help facilitate smooth reimbursement workflows, support patient accounts, and uphold compliance with industry standards. If you thrive in a fast-paced environment and are passionate about optimizing revenue cycle processes, this opportunity is perfect for you! 
Responsibilities:
<ul>
<li>Prepare, review, and submit accurate insurance claims for services rendered in a timely manner.</li>
<li>Verify client insurance coverage, eligibility, and authorization requirements prior to claim submission.</li>
<li>Monitor and manage accounts receivable (A/R), ensuring timely follow-up on unpaid or denied claims.</li>
<li>Investigate and resolve claim denials, rejections, and payment discrepancies.</li>
<li>Submit corrected claims and appeals with appropriate supporting documentation.</li>
<li>Ensure all billing practices comply with payor guidelines, Medicaid requirements, and company policies.</li>
<li>Maintain detailed and accurate records of billing activity, communications, and claim status updates.</li>
<li>Collaborate with clinical and administrative staff to ensure accurate service documentation and coding.</li>
<li>Review documentation for completeness and compliance prior to billing submission.</li>
<li>Post payments, adjustments, and reconcile accounts as needed.</li>
<li>Identify trends in denials or billing issues and escalate concerns to leadership.</li>
<li>Maintain confidentiality of all clients&rsquo; financial and health information in accordance with HIPAA regulations.</li>
<li>Assist with internal and external audits as required.</li>
<li>Stay current on changes to billing regulations, payer policies, and coding requirements.</li>
<li>Maintain documentation on account management, including but not limited to updating status on claims, meetings and/or correspondence with customers regarding balances, and complete actions by customers on payments.</li>
<li>Escalate issues to management on customer inquiries or requests and follow through to conclusion with both management and customers.</li>
<li>Perform other duties and responsibilities as assigned.</li></ul> 


Requirements
<ul>
<li>Proven experience in medical billing, claims processing, or related healthcare administrative roles.</li>
<li>Strong knowledge of medical terminology, medical records management, and coding systems such as CPT codes, ICD-10 codes, and insurance billing procedures.</li>
<li>Familiarity with EMR/EHR systems used for billing and documentation purposes.</li>
<li>Excellent understanding of insurance processes including pre-authorizations, claim adjudication, denials management, and appeals.</li>
<li>Ability to interpret complex medical records accurately for proper coding and billing procedures.</li>
<li>Exceptional organizational skills with keen attention to detail to ensure error-free submissions.</li>
<li>Effective communication skills for liaising with insurance companies, healthcare providers, and patients.</li></ul> 


Join us as a Billing Claims Specialist to make a meaningful impact on our healthcare delivery by ensuring accurate billing practices that support our mission of providing exceptional patient care! 
Benefits:
<ul>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Life insurance</li>
<li>Paid time off</li>
<li>Tuition reimbursement</li>
<li>Vision insurance</li></ul> 


Work Location: In person</div>

Billing Claims Specialist

Kaleidoscope Interventions

Overview We are seeking a dynamic and detail-oriented Billing Claims Specialist to join our healthcare administration team. In this vital role, you will be responsible for managing the end-to-end process of medical billing and claims submission, ensuring accuracy and timeliness.Your expertise will help facilitate smooth reimbursement workflows, support patient accounts, and uphold compliance with industry standards. If you thrive in a fast-paced environment and are passionate about optimizing revenue cycle processes, this opportunity is perfect for you!Responsibilities:<ul><li>Prepare, review, and submit accurate insurance claimsfor services rendered in a timely manner.</li><li>Verify client insurance coverage, eligibility, and authorization requirements prior to claim submission.</li><li>Monitor and manage accounts receivable (A/R), ensuring timely follow-up on unpaid or denied claims.</li><li>Investigate and resolve claim denials, rejections, and payment discrepancies.</li><li>Submit corrected claims and appeals with appropriate supporting documentation.</li><li>Ensure all billing practices comply with payor guidelines, Medicaid requirements, and company policies.</li><li>Maintain detailed and accurate records of billing activity, communications, and claim status updates.</li><li>Collaborate with clinical and administrative staff to ensure accurate service documentation and coding.</li><li>Review documentation for completeness and compliance prior to billing submission.</li><li>Post payments, adjustments, and reconcile accounts as needed.</li><li>Identify trends in denials or billing issues and escalate concerns to leadership.</li><li>Maintain confidentiality of all clients&rsquo; financial and health information in accordance with HIPAA regulations.</li><li>Assist with internal and external audits as required.</li><li>Stay current on changes to billing regulations, payer policies, and coding requirements.</li><li>Maintain documentation on account management, including but not limited to updating status on claims, meetings and/or correspondence with customers regarding balances, and complete actions by customers on payments.</li><li>Escalate issues to management on customer inquiries or requests and follow through to conclusion with both management and customers.</li><li>Perform other duties and responsibilities as assigned.</li></ul>Requirements<ul><li>Proven experience in medical billing, claims processing, or related healthcare administrative roles.</li><li>Strong knowledge of medical terminology, medical records management, and coding systems such as CPT codes, ICD-10 codes, and insurance billing procedures.</li><li>Familiarity with EMR/EHR systems used for billing and documentation purposes.</li><li>Excellent understanding of insurance processes including pre-authorizations, claim adjudication, denials management, and appeals.</li><li>Ability to interpret complex medical records accurately for proper coding and billing procedures.</li><li>Exceptional organizational skills with keen attention to detail to ensure error-free submissions.</li><li>Effective communication skills for liaising with insurance companies, healthcare providers, and patients.</li></ul>Join us as a Billing Claims Specialist to make a meaningful impact on our healthcare delivery by ensuring accurate billing practices that support our mission of providing exceptional patient care!Pay: $20.00 - $25.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Work Location: In person

Optimal Care

<div><div><h2 class="jobSectionHeader">Optimal Care is where your dedication meets a rewarding career.</h2>

As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care.

We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care.

What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work.

Exceptional Benefits:
<ul>
<li>Minimum of 3 Weeks Paid Time Off (PTO)</li>
<li>Company Vehicle Program</li>
<li>Mentorship Culture</li>
<li>Medical, Dental, and Vision Insurance</li>
<li>401(k) with Employer Match</li>
<li>Mileage Reimbursement</li>
<li>Cutting Edge Technology</li>
</ul></div><h3 class="jobSectionHeader">Key Responsibilities</h3> 


Join Optimal Care as a Billing Specialist and become an essential member of our billing team, ensuring timely and accurate processing of all claims and payments. As a Billing Specialist, you'll be responsible for the accurate and timely completion and submission of Medicare, Medicaid, private payer, and patient billing, along with accounts receivable tracking and follow-up. Reporting to the Billing Manager, you'll play a critical role in maintaining our revenue cycle by ensuring every claim is processed correctly and every account is monitored closely. This position offers an excellent opportunity to develop your healthcare billing expertise in a supportive team environment. You'll work with cutting-edge billing systems, collaborate with an interdisciplinary team, and gain hands-on experience with diverse payer requirements while contributing to the financial health of our organization.
<h3 class="jobSectionHeader">
What You'll Do</h3>

Accurate Billing &amp; Claims Processing
<ul>
<li>Enter patient billing data accurately, including visit charges and supply charges, into the information system</li>
<li>Process and bill Medicare, Medicaid, private payer, and patient claims in accordance with payer requirements and organizational policy</li>
<li>Maintain complete and accurate billing and accounts receivable records</li>
<li>Prepare remittances for data entry with precision and attention to detail</li>
</ul>
Accounts Receivable Management
<ul>
<li>Monitor accounts receivable to support timely collection of payments</li>
<li>Assist with collection efforts by resubmitting bills to overdue accounts</li>
<li>Alert Billing Manager of seriously overdue accounts requiring escalation</li>
<li>Track payment patterns and identify potential collection issues</li>
</ul>
Reporting &amp; Analysis
<ul>
<li>Assist in preparation of monthly billing and accounts receivable reports</li>
<li>Maintain accurate Medicare and Medicaid billing analysis reports</li>
<li>Provide data and insights that support billing performance monitoring</li>
<li>Document billing activities and maintain organized records</li>
</ul>
Quality Assurance &amp; Communication
<ul>
<li>Alert management team members about late or missing documents required for billing</li>
<li>Establish and maintain positive working relationships with patients, payers, and other customers</li>
<li>Ensure all billing activities comply with payer requirements and organizational policies</li>
<li>Support billing team goals through collaborative problem-solving</li>
</ul>
Special Projects &amp; Continuous Improvement
<ul>
<li>Perform specific projects relating to billing, data entry, and computer operations as required</li>
<li>Identify opportunities to improve billing processes and efficiency</li>
<li>Stay current on payer requirements and billing regulations</li>
<li>Maintain confidentiality of patient and organizational information at all times</li>
</ul><h3 class="jobSectionHeader">What We're Looking For</h3>

Required:
<ul>
<li>High School Diploma or GED</li>
<li>At least 1 year of healthcare-related billing experience</li>
<li>Home care or hospice care billing experience preferred</li>
</ul>
Preferred:
<ul>
<li>Associate's degree</li>
<li>Homecare Homebase experience</li>
</ul>
Essential Skills:
<ul>
<li>Exceptional accuracy in data entry and claim processing</li>
<li>Understanding of Medicare, Medicaid, and private payer billing requirements</li>
<li>Strong ability to manage multiple accounts and deadlines</li>
<li>Excellent verbal and written communication skills</li>
<li>Ability to work effectively as part of an interdisciplinary team</li>
<li>Comfortable with billing software and information systems</li>
<li>Able to identify issues and work toward timely resolution</li>
</ul>
Personal Qualities:
<ul>
<li>Consistent attendance and follow-through on responsibilities</li>
<li>Takes initiative with minimal supervision</li>
<li>Handles frequent adjustments and shifting priorities with professionalism</li>
<li>Maintains confidentiality and displays courtesy in all interactions</li>
<li>Takes pride in accuracy and completeness of work</li>
<li>Works cooperatively with colleagues and supports team success</li>
</ul><h3 class="jobSectionHeader">Why Join Our Team?</h3>
<ul><li>Gain comprehensive healthcare billing expertise across multiple payer types</li>
<li>Work with an experienced Billing Manager and collaborative team</li>
<li>See how your accuracy and attention to detail support organizational financial health</li>
<li>Opportunities to advance your billing career and take on new responsibilities</li>
<li>Office-based role with minimal travel and consistent schedule</li>
<li>Support the financial operations that enable exceptional patient care</li>
<li>Join a team that values accuracy, collaboration, and continuous improvement</li>
</ul><h3 class="jobSectionHeader">Work Environment</h3>

This is an office-based position with minimal travel. The role requires moderate to high adaptability as you'll need to make frequent adjustments to respond to billing priorities, payer requirements, and organizational needs. You'll work in a collaborative team environment focused on accuracy, efficiency, and exceptional service.
<h3 class="jobSectionHeader">
Ready to Launch Your Healthcare Billing Career?</h3>

If you're detail-oriented, enjoy working with numbers and systems, and want to contribute to a healthcare organization's financial success, we want to hear from you. 


Location
<ul>
<li>Office Location: 24255 W 13 Mile Rd Suite 210, Bingham Farms, MI 48025</li>
</ul>
Hours
<ul>
<li>8:00 am &ndash; 5:00 pm, Monday through Friday</li>
</ul><div><div>Background Screening</div>
<div>Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.</div>
<div></div>
<div>Reasonable Accommodations</div>
<div>We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.</div>
<div></div>
<div>Equal Opportunity Employer</div>
<div>Optimal Care is an equal-opportunity employer.</div></div></div><div></div>

Billing Specialist

McPherson Hospital, Inc.

<div>
 Job Description: Medical Billing Specialist
 
 
 
 Medical Billing Specialist Job Summary:
 
 Perform the duties required to ensure that all charging, receipting, billing and collection is completed in a timely and accurate manner. Follow-up with insurance carriers and patients to ensure prompt payment of claim and patient balance is received and posted to patient account.
 
 
 
 Medical Billing Specialist Shift Availability:
 
 
 
 <ul>
 <li>
 Full Time
 </li>
 <li>
 Days
 
 
 
 </li>
 </ul>
 
 Medical Billing Specialist Benefits:
 
 
 
 <ul>
 <li>
 Medical/ Dental/ Vision Insurance
 </li>
 <li>
 Health Savings Account
 </li>
 <li>
 Flex Spending Account/Dependent Care Spending Account
 </li>
 <li>
 403 (b) Retirement Plan- up to 4% employer contribution
 </li>
 <li>
 Earned Time Off
 </li>
 <li>
 Extended Illness Bank-Hospital contribution
 </li>
 <li>
 Life Insurance- Employer Paid
 </li>
 <li>
 Long-Term Disability/ Short-Term Disability-Employer paid
 </li>
 <li>
 Voluntary Life &amp; AD&amp;D
 </li>
 <li>
 Free 24-hour fitness center
 </li>
 <li>
 Hospital Indemnity
 </li>
 <li>
 MASA- Medical Transportation Solutions
 
 
 
 </li>
 </ul>
 
 Medical Billing Specialist Essential Accountabilities:
 
 
 
 <li>
 Review documentation for accurate charging and clean claim generation, working with providers, clinical and coding staff when questions, concerns and/or errors arise.
 </li>
 <li>
 Generate and submit insurance claims daily. Work account aging reports to monitor for timely payments from insurance carriers.
 </li>
 <li>
 Maintains acceptable levels of productivity in accordance with industry standards, best practices, and departmental policies and procedures.
 </li>
 <li>
 Complete follow-ups with insurance payers, government entities and third-party liability payers to minimize payment delays.
 </li>
 Maintain all outstanding/unpaid insurance balances =/+ 90 days at a level of
 <li>
 Respond timely to insurance carriers&rsquo; information requests to assist in claim adjudication.
 </li>
 <li>
 Adhere to the Hospital&rsquo;s Corporate compliance Program by complying with all applicable laws, regulations, policies, and procedures.
 </li>
 <li>
 Attend in-service training programs, department meetings, workshops and seminars as directed by supervisor.
 </li>
 <li>
 Other duties which may be assigned by supervisor.
 
 
 </li>
 
 Medical Billing Specialist- Other Skills:
 
 
 
 <ul>
 <li>
 Must be able to type proficiently with previous experience in data entry.
 </li>
 <li>
 Must have the ability to read and interpret documents such as insurance forms, insurance company regulations and procedure manuals.
 </li>
 <li>
 Must be able to write routine correspondence and have effective oral communication skills.
 </li>
 <li>
 Must have the ability to calculate figures and amounts such as discounts, percentages and balances due.
 </li>
 <li>
 Must have ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
 </li>
 <li>
 Requires ability to interpret a variety of instructions furnished in written or oral form.
 </li>
 <li>
 Able to operate a variety of equipment such as computer, phone, calculator, and printer/copier/scanner.
 
 
 
 </li>
 </ul>
 
 Medical Billing Specialist Qualifications:
 
 
 
 
 Education/Licensure/Certifications:
 
 
 
 <ul>
 <li>
 High school diploma
 
 
 
 </li>
 </ul>
 
 Experience:
 
 
 
 <ul>
 <li>
 1-2 years of healthcare billing and/or posting office experience
 
 
 
 </li>
 </ul>
 
 Discretion/Latitude/Decision-Making:
 
 
 
 <ul>
 <li>
 Exercise independent judgment. Work affords significant opportunity to act independently on assigned tasks.
 
 
 
 </li>
 </ul>
 
 Environmental Surroundings:
 
 
 
 <ul>
 <li>
 Potential exposure to airborne diseases. The same as for any individual working in a hospital environment that is dependent on a ceiling ventilation system for in flow and out flow of air.
 
 
 
 </li>
 </ul>
 
 Physical Working Conditions:
 
 
 
 <ul>
 <li>
 Sitting - 90%
 </li>
 <li>
 Walking/Standing - 10%
 
 
 
 </li>
 </ul>
 
 We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
 
</div>

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10000 healthcare billing specialist jobs Near Me

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Billing Specialist – Skilled Nursing

Billing Specialist- Home Health- Kentucky Medicaid experience REQUIRED

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Billing Claims Specialist

Billing Specialist

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