medical billing specialist

Progress Weight Management

Medical Billing SpecialistLocation: Fargo, ND (In-Person)Job Type: Full-TimePay Range: $18.00&ndash;$25.00 per hourAbout the RoleWe 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 ResponsibilitiesClaims Management &amp; Reimbursement<ul><li>Prepare, review, and submit accurate medical claims to commercial insurance carriers, Medicare, Medicaid, Tricare, and other third-party payers.</li><li>Audit claims for completeness and accuracy prior to submission.</li><li>Monitor claim status and perform follow-up on unpaid, delayed, denied, or rejected claims.</li><li>Research claim issues and coordinate appeals to maximize reimbursement.</li><li>Document all follow-up activities and claim actions within patient account records.</li></ul>Insurance Verification &amp; Eligibility<ul><li>Verify patient insurance eligibility and benefits prior to services.</li><li>Identify authorization and referral requirements when applicable.</li><li>Confirm coverage limitations and patient financial responsibility.</li></ul>Patient Billing &amp; Customer Service<ul><li>Generate and distribute patient statements.</li><li>Assist patients with billing questions, insurance explanations, account balances, and payment options.</li><li>Explain Explanation of Benefits (EOBs) and patient financial obligations in a professional manner.</li></ul>Payment Posting &amp; Account Reconciliation<ul><li>Post insurance payments, patient payments, contractual adjustments, and corrections accurately.</li><li>Reconcile account balances and investigate discrepancies.</li><li>Maintain accurate billing and payment records.</li></ul>Compliance &amp; Reporting<ul><li>Ensure compliance with HIPAA regulations and payer requirements.</li><li>Maintain confidentiality of patient information at all times.</li><li>Stay current on billing regulations, coding updates, and reimbursement guidelines.</li><li>Prepare reports and billing-related documentation as requested.</li></ul>QualificationsRequired<ul><li>High school diploma or equivalent.</li><li>Minimum 1&ndash;3 years of medical billing experience in a clinic, hospital, or healthcare billing environment.</li><li>Experience with medical billing software and Electronic Health Record (EHR) systems.</li><li>Knowledge of medical terminology and healthcare reimbursement processes.</li><li>Familiarity with ICD-10, CPT, and HCPCS coding systems.</li><li>Understanding of Medicare, Medicaid, commercial insurance, and coordination of benefits.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and customer service abilities.</li><li>Ability to multitask and prioritize work in a fast-paced environment.</li><li>Proficiency with computers.</li><li>Ability to maintain confidentiality and professionalism when handling sensitive information.</li></ul>Preferred<ul><li>Certified Professional Biller (CPB), Certified Billing &amp; Coding Specialist (CBCS), or similar credential.</li></ul>Benefits<ul><li>Medical, Dental &amp; Vision Insurance</li><li>Short Term Disability Insurance</li><li>Retirement</li><li>Paid Time Off (PTO)</li><li>Paid Holidays</li></ul>Pay: $18.00 - $25.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>Work Location: In person

Medical Billing Specialist

Invictus Account Management

We are looking for a Billing Specialist in our McKinney, TX location. This position is responsible for billing insurance companies for physician bills and performs other work associated with the process.Responsibilities:<ul><li>Prepares and submits physician claims to insurance carriers either electronically or by hard copy billing.</li><li>Secures needed medical documentation required or requested by third party insurances.</li><li>Follows up with third-party insurance carriers on unpaid claims until the claims are paid or only guarantor balance remains.</li><li>Handle insurance appeals.</li><li>Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.</li><li>May assist with rebills and/or posting payments to accounts.</li><li>Monitors claims for missing information and authorization/control numbers.</li></ul>Requirements:<ul><li>Proven experience as a Billing Specialist or similar role</li><li>Working knowledge of MS Office and capability of multi-tasking in different databases</li><li>Excellent communication skills (written and oral)</li><li>Excellent problem-solving, accuracy and organizational skills</li><li>High school diploma required. Associate or Bachelor&rsquo;s degree is a plus</li><li>Previous medical office experience and knowledge of billing procedures is desired</li></ul>This position is based in McKinney, TX and the hours are 8am-5pm Monday-Thursday and 8am-4pm on Friday. Please send your resume with salary requirements to info@invictusmgmt.comJob Type: Full-timeBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Nation's Best Family Health Care

Job Overview This position is an On-Site position and requires this person to work in the office 5 days a week.We are seeking a detail-oriented and dedicated Medical Billing Specialist to join our healthcare administration team. The ideal candidate will possess a strong understanding of medical billing processes, coding systems, and insurance claim procedures. As a Medical Billing Specialist, you will be responsible for ensuring accurate billing, coding, and collection of payments while maintaining compliance with healthcare regulations. Your expertise will contribute to the smooth financial operations of our medical practice and support optimal revenue cycle management.Responsibilities<ul><li>Review and process medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, and ICD-10 to ensure precise reimbursement.</li><li>Assign diagnosis and procedure codes accurately based on medical records and documentation, including DRG (Diagnosis-Related Group) classifications.</li><li>Submit claims electronically through Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, ensuring timely and compliant submissions.</li><li>Follow up on unpaid or denied claims through effective medical collections strategies to maximize revenue recovery.</li><li>Maintain detailed and organized medical records and billing documentation in accordance with privacy regulations and organizational policies.</li><li>Collaborate with healthcare providers to clarify documentation discrepancies that may impact coding accuracy or reimbursement.</li><li>Stay current with updates in medical coding standards, insurance policies, and healthcare regulations to ensure ongoing compliance.</li></ul>Skills<ul><li>Proficiency in medical coding including CPT, ICD-9, ICD-10, and DRG classifications.</li><li>Strong knowledge of medical terminology, anatomy, and physiology to accurately interpret clinical documentation.</li><li>Experience working with EMR/EHR systems for billing and record management. Preferred eClinicalWorks experience.</li><li>Familiarity with medical billing procedures, insurance claim submission processes, and collections practices.</li><li>Ability to analyze medical records for accurate coding and billing purposes.</li><li>Excellent attention to detail combined with strong organizational skills to manage multiple claims efficiently.</li><li>Effective communication skills for collaborating with healthcare providers, insurance companies, and patients. Join our team as a Medical Billing Specialist to play a vital role in ensuring accurate financial operations within a dynamic healthcare environment. Your expertise will help facilitate seamless revenue cycle management while supporting high-quality patient care delivery.</li></ul>Pay: $20.00 - $22.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Wholistic Health and Wellness LLC

Job Overview We are seeking a Medical Billing Specialist familiar with Waystar Clearing House to join our healthcare team. In this vital role, you will be responsible for managing the full cycle of medical billing processes, ensuring accurate and timely submission of claims, and optimizing revenue flow. Your expertise will support the financial health of our practice while providing exceptional service to patients and providers alike. This position offers an exciting opportunity to apply your medical coding knowledge and billing skills in a fast-paced, collaborative environment dedicated to quality care.This position will not require much of your time and will allow you to apply your billing knowledge from the comfort of your home.You must be familiar with Waystar!Access to computer/laptop and printer is also recommended!We need your expertise today! Call us now (614)429-8731Responsibilities<ul><li>Prepare and submit insurance claims accurately using CPT (Current Procedural Terminology), ICD-9, and ICD-10 coding systems, ensuring compliance with payer guidelines, and ERA complianc.</li><li>Review medical records and documentation to verify the accuracy of diagnoses, procedures, and billing codes.</li><li>Follow up on unpaid or denied claims through effective communication with insurance companies and patients to facilitate prompt resolution.</li><li>Maintain detailed records of billing activities, payment histories, and correspondence within Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.</li><li>Collaborate with healthcare providers to clarify documentation requirements and ensure proper coding for DRG (Diagnosis-Related Group) assignments when applicable.</li><li>Monitor accounts receivable and perform collections for outstanding balances through professional outreach to patients or third-party payers.</li><li>Stay current with evolving healthcare regulations, coding updates, and billing best practices to ensure compliance and maximize reimbursement.</li></ul>Skills<ul><li>Strong understanding of medical terminology, medical records management, and healthcare documentation standards.</li><li>Proficiency in medical coding including CPT, ICD-9, ICD-10, DRG, and ICD coding systems.</li><li>Experience with medical billing processes, insurance claim submission, and medical collections.</li><li>Familiarity with EMR/EHR systems used for recording patient information and billing data.</li><li>Excellent attention to detail with the ability to analyze complex medical information accurately.</li><li>Effective communication skills for interacting with insurance companies, healthcare providers, and patients.</li><li>Knowledge of healthcare regulations related to billing practices and patient confidentiality. Join us as a Medical Billing Specialist to make a meaningful impact by ensuring smooth financial operations in a supportive healthcare environment!</li></ul>Pay: $50.00 - $100.00 per dayBenefits:<ul><li>Employee discount</li><li>Flexible schedule</li></ul>Work Location: Remote

Conway Ophthalmology

We are a busy private Optometry and Ophthalmology practice located in downtown Conway. We are searching for a friendly and enthusiastic candidate who has an interest in providing great customer service while ensuring patients receive the very best eye care. We are accepting resumes and interviewing for a Medical Insurance Billing Specialist for Optometry/Ophthalmology. You must be able to multi-task, be reliable, professional, and have a friendly personality. A minimum of 2 years experience in medical billing is required.Responsibilities include but not limited to:<ul><li>Review and analyze medical documentation to ensure accurate coding and billing</li><li>Post insurance payments</li><li>Prepare, review, and transmit claims using billing software, including electronic and paper claim processing</li><li>Follow up on unpaid claims within standard billing cycle time frame</li><li>Call insurance companies regarding any discrepancy in payments</li><li>Answer patient or insurance telephone inquiries pertaining to assigned accounts</li><li>Perform other duties as needed</li></ul>If this is a position that interests you, please submit your resume with work history and references. A minimum of 2 years experience in medical billing is required. Experience in the optometric field is ideal. Full benefits package offered to full-time employees. Benefits include health and dental insurance, matching IRA contributions and Paid Time Off. Compensation is based on experience.Job Type: Full-timeBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>Medical Billing: 2 years (Required)</li></ul>Ability to Commute:<ul><li>Conway, SC 29526 (Required)</li></ul>Work Location: In person

The Pediatric Center

The Pediatric Center is looking for a friendly, dependable and efficient person to join our team in the billing department.We are a busy, independent pediatric practice that is dedicated to providing a comprehensive, caring medical home. We strive to provide a fun workplace, while maintaining the highest possible level of service to our patients. As an organization, we value the billing department as an integral part of practice.Duties including: &middot; Efficient analysis of insurance claims to ensure accurate coding for optimum reimbursement &middot; Posting payments &middot; Research and appeal insurance payments that are late, underpaid or denied incorrectly &middot; Manage Accounts Receivable and follow up on outstanding balances &middot; Answering phone inquiries from patients regarding benefit coverage and making payments &middot; Support Front Desk with billing and eligibility workflows &middot; Review referrals to specialists to ensure pre-authorization requirements are metRequired Qualifications: &middot; CPC or minimum 2 years experience of full Revenue Cycle Management for physician services &middot; Detailed knowledge of Billing Rules and Regulations including ICD-10 and CPT coding &middot; Working knowledge of medical terminology, anatomy and physiology &middot; Strong communication and interpersonal skills &middot; Self-starter who can work independently and collaboratively &middot; EPIC experience preferred but not requiredPay: $25.00 - $28.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li></ul>Work Location: In person

Griffith Eye Center

Medical Billing SpecialistGriffith Eye Center has an immediate opening for an experienced Medical Billing Specialist to join our busy ophthalmology/optometry practice in Erie. The ideal candidate is a knowledgable, detailed-oriented billing professional who thrives in a fast-paced environment and enjoys sharing their expertise with others. Candidate has proven medical billing experience and a strong understanding of ophthalmology/optometry billing, surgical billing and vision plans. We offer competitive pay and benefits, an exceptional, patient-focused team work environment and a small practice setting. Position is full-time. Salary commensurate with experience.Required skills &amp; abilities<ul><li>Several years of experience in medical billing</li><li>Strong knowledge of medical terminology, ICD-10 diagnosis codes and CPT-4 procedure codes</li><li>Deep understanding of insurance eligibility and authorizations, benefits and reimbursement processes</li><li>Experience in insurance eligibility, prior authorizations and referrals in a health care setting</li><li>Advanced understanding of coding modifiers and their appropriate use</li><li>Proven expertise in A/R follow-up and denial management</li><li>Experience with Medicare, commercial insurance plans and vision plans</li><li>Excellent communication and customer service skills</li><li>Strong analytical, organizational and problem solving abilities</li><li>High attention to detail and accuracy</li><li>Strong team-work ethic</li><li>Ability to work in fast-paced environment and manage time effectively</li><li>Experience with ophthalmology and optometry billing preferred</li><li>Compulink practice management experience a plus</li><li>CPC, COPC or similar certification preferred</li></ul>What You'll Do<ul><li>Review and validate patient demographics, insurance details, charges and coding</li><li>Verify and document insurance coverage and limits prior to patient exams using eligibility tools</li><li>Contact patients regarding balance due at time of service</li><li>Effectively communicate insurance coverage limits to patients</li><li>Obtain prior authorizations relevant to date of service for procedures, surgeries and testing as needed</li><li>Review medical records to ensure proper coding</li><li>Bill claims from Compulink practice management software</li><li>Download and post EFTs from clearinghouse, post insurance checks and patient payments</li><li>Resolve claim edits, rejections and denials</li><li>Ensure compliance with timely filing requirements and regulatory standards</li><li>Assists in patient billing collection process and special billing projects</li><li>Serve as a expert for billing processes, coding and payer requirements</li><li>Support accurate eligibility verification, authorizations and referral processes</li><li>Identify workflow improvements to reduce denials and increase efficiency</li><li>Assist front office staff, when necessary, including scheduling appointments, performing check-in and check-out procedures, answering phones and day-end close activities</li></ul>Why Join Griffith Eye Center?<ul><li>Friendly, team oriented-culture</li><li>Small practice atmosphere</li><li>Monday through Friday work week</li><li>Competitive benefits</li><li>Medical Insurance</li><li>401(k) plan with yearly company contribution</li><li>Pension plan with yearly company contribution</li><li>Paid vacation time-off</li><li>Paid Holidays</li><li>Eye care discounts</li><li>Continuing education to support certification</li></ul>Salary commensurate with experience.Pay: From $20.00 per hourBenefits:<ul><li>401(k)</li><li>Employee discount</li><li>Health insurance</li><li>Paid time off</li><li>Retirement plan</li></ul>Experience:<ul><li>ICD-10: 1 year (Required)</li><li>CPT Coding: 1 year (Required)</li><li>Medical Billing: 1 year (Required)</li></ul>Work Location: In person

Medical Billing Specialist Lead

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Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist Lead