senior medical 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

Project HOME

<div>Minimum Starting Salary: $61,494 
 
BENEFITS: Project HOME offers a competitive compensation package which includes health, prescription, dental, and vision coverage at minimum cost to our employees, company-funded life and disability insurances, paid parental leave, spending accounts, and a 401K plan with 100% matching contributions up to 5% of compensation. Additionally, we offer generous PTO accruals, which include paid sabbatical leave. 
 
Job Summary: The Senior Billing Specialist supports the revenue cycle operations of Project HOME Health Services (PHHS) by overseeing complex medical billing functions, ensuring accurate and timely credentialing of all providers, managing claim submission and denials, and helping to optimize reimbursement across all payers and lines of business. This role serves as a subject matter expert for billing workflows and supports compliance with federal and state billing regulations.

Essential Duties and Responsibilities

Routine Billing Responsibilities:
<ul>
<li>Verify coding accuracy using ICD-10, CPT, and HCPCS standards prior to claims submission and/or during the rejection and denial processes</li>
<li>Prepare and submit clean claims to all payers including Medicaid, Medicare, Medicare Advantage, MCOs, and Commercial payers using the EMR</li>
<li>Review, research, and correct denied or rejected claims; perform rebilling and ensure timely resolution</li>
<li>Continuously monitor claim statuses and queues notifying the Revenue Manager of potential issues and recommend EMR system updates</li>
<li>Perform payment posting and reconciliation functions in conjunction with the other billing staff</li>
<li>Recommend write-offs to Revenue Manager</li>
</ul>
Credentialing &amp; Payer Enrollment:
<ul>
<li>Manage credentialing and re-credentialing for all providers across medical, mental health, and dental disciplines, including monitoring expiration dates to prevent lapses</li>
<li>Support Revenue Manager and Sr. Director of Operations in the preparation, submission, and tracking of payer enrollment and re-credentialing applications</li>
<li>Compile and maintain complete, current, and accurate provider documentation including licenses, DEA registrations, board certifications, malpractice coverage, and other required credentials in partnership with the Compliance &amp; Risk Management Specialist and HR</li>
<li>Maintain insurance company provider rosters and perform primary source verification, as required</li>
<li>Maintain provider data in credentialing databases such as CAQH, PECOS, and NPPES</li>
</ul>
Administration:
<ul>
<li>Manage staff user access to payer portals</li>
<li>Provide claim data tracking, trending, &amp; reporting to the Revenue Manager as requested</li>
<li>Assist in gathering requested supporting documentation for the annual audit, annual Medicare Cost Report, and tri-annual HRSA audits</li>
<li>Collaborate with the Revenue Manager and across departments to identify and address root causes of denials, rejections, and bad debt</li>
<li>Serve as a Subject Matter Expert (SME) for billing and front desk staff, providing guidance, support, and onboarding as requested</li>
<li>Maintain knowledge of payer regulations, FQHC reimbursement rules, and changes to Medicaid/Medicare policies impacting billing</li>
<li>Ensure patient confidentiality and billing security protocols in compliance with HIPAA</li>
<li>Assist in documentation of internal workflows and policies and procedures as requested</li>
<li>Additional duties as assigned by the Revenue Manager</li>
</ul>
Minimum Qualifications:
<ul><li>Associate's degree in Medical Billing and Coding or High school diploma/GED with 3 years equivalent experience in health care billing.
</li><li>At least three (3) years experience in health care billing, with strong working knowledge of Medicare and Medicaid billing requirements</li>
<li>At least two (2) years experience with eClinicalWorks (eCW) or two (2) years experience on a billing team at an FQHC with an Electronic Health Records (EHR)/Practice Management (PM) System</li>
<li>Provider credentialing experience</li>
<li>Proficiency with Electronic Health Records (EHR)/Practice Management (PM) Systems, with preference for experience working in work queues, reviewing charges, resolving denials, and payment posting</li>
<li>Attention to detail</li>
<li>Intermediate Microsoft Excel experience, including general navigation, reading/interpreting data, and using charts and pivot tables</li>
</ul>
What Qualifications or Experience You May Bring:
<ul>
<li>Credentialling in an FQHC setting</li>
<li>Experience with dental billing</li>
<li>Hold current medical billing and coding certification from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA)</li>
<li>Advanced knowledge of Pennsylvania Medicaid Managed Care Organizations (MCOs) billing requirements</li>
<li>Strong knowledge of Federally Qualified Health Center (FQHC) revenue cycle management processes</li>
<li>Advanced Excel skills and strong proficiency in other Microsoft Office applications</li>
</ul>
PHYSICAL REQUIREMENTS

Ability to move to or remain sedentary for periods of time in various locations
Project HOME provides equal employment opportunities to all employees and applicants for employment, without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. Project HOME prohibits discrimination and harassment of any type.

Project HOME reserves the right to revise or change job duties and responsibilities as needed. This job description is not meant to be an all-inclusive statement of the duties and responsibilities of the job, nor does it constitute a written or implied contract.</div>

Senior 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>

Northwestern Skin Cancer Institute

We are a private Dermatology office located in the Streeterville neighborhood of Chicago seeking an experienced Billing specialist familiar with medical billing and electronic processing, preferably using EMA software.Medical Billing Specialist<ul><li>Verify patient insurance</li><li>Process insurance claims for private employer insurances and Medicare</li><li>Work with patients to develop self-pay arrangements and payment plans as needed</li><li>Enter charges accurately and expeditiously to ensure proper records handling and timely reimbursement</li><li>Process and follow up on payer denials</li><li>Post payments in a timely manner</li><li>Initiate private pay collections after insurance cancellation, denial or other issue</li><li>Research and resolve client billing problems or issues</li><li>Document payment records and issues as they occur</li><li>Report melanoma cases with State Registry</li></ul>Skills<ul><li>Experience with medical billing and coding</li><li>Excellent customer service skills and phone manner</li><li>Ability to manage stress in a fast-paced environment</li><li>Strong knowledge of insurance and Medicare practices</li><li>Experience with electronic claims/billing, preferably with EMA software</li><li>Certified in coding and reimbursement</li></ul>Job Type: Full-timePay: $50,000.00 - $60,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Are you available for a full time position?</li></ul>Experience:<ul><li>ICD-10: 1 year (Preferred)</li></ul>Ability to Commute:<ul><li>Chicago, IL 60611 (Required)</li></ul>Work Location: In person

BM Global

Job Description: We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team. The ideal candidate will be responsible for managing medical claims, ensuring accurate billing, and following up with insurance companies to resolve any billing issues.Key Responsibilities:<ul><li>Prepare and submit medical claims to insurance companies</li><li>Verify patient insurance eligibility and coverage</li><li>Follow up on unpaid or denied claims</li><li>Post payments and reconcile billing records</li><li>Maintain accurate patient and billing information</li><li>Communicate with insurance providers and patients regarding billing inquiries</li></ul>Preferred Qualifications:<ul><li>Experience with US medical billing</li><li>Knowledge of CPT, ICD-10, and HCPCS codes</li><li>Ability to work independently and meet deadlines</li></ul>Benefits:<ul><li>Competitive salary</li><li>Professional work environment</li><li>Career growth opportunities</li></ul>Job Types: Full-time, FresherPay: Rs50,000.00 - Rs150,000.00 per monthWork Location: In person

Preventive Medicine

Contract Role: Medical Billing Cleanup Specialist / Revenue Cycle Consultant(Medical Billing Audit &amp; A/R Recovery Project)We are seeking an experienced Medical Billing Cleanup Specialist or Revenue Cycle Consultant to help stabilize and resolve a backlog of billing issues for a small, well-established integrative medical practice.This is a short-term contract project focused on identifying and resolving billing errors, recovering unpaid claims where possible, and preparing the billing system so a long-term biller can step into a clean and functional workflow.The goal of this role is simple: untangle the current billing issues, recover appropriate revenue, and leave the system organized and stable moving forward.Project ScopeThe consultant will review and work through approximately 100 patient accounts currently flagged with billing issues.Responsibilities may include:<ul><li>Reviewing and auditing problem claims and patient accounts</li><li>Identifying billing errors, coding issues, or workflow breakdowns</li><li>Correcting and resubmitting claims when appropriate</li><li>Working denied claims and payer appeals</li><li>Recovering legitimate outstanding revenue where possible</li><li>Identifying systemic billing issues that created the backlog</li><li>Providing recommendations for improved billing workflows</li><li>Preparing the billing system so a new long-term biller can step into a clean, stable environment</li></ul>Ideal ExperienceWe are looking for someone with experience in:<ul><li>Revenue Cycle Management (RCM)Medical billing audits and cleanup projects</li><li>Denial management and appeals</li><li>Accounts receivable recovery</li><li>Correcting claim submission and payer errors</li><li>Working independently within EHR billing systems</li></ul>Experience with small practices or integrative/functional medicine clinics is a plus.Technical EnvironmentThe clinic currently uses Elation Health as its EMR/EHR system, so experience working within Elation is strongly preferred.Project Details<ul><li>Contract / project-based role</li><li>Approximately 100 patient accounts currently requiring review</li><li>Remote work possible</li><li>Timeline and compensation flexible depending on experience and approach</li></ul>How to ApplyIf you have experience cleaning up medical billing systems, resolving claim issues, and recovering revenue, we would love to hear from you.Please email the clinic with:<ul><li>A brief description of your experience with billing cleanup or revenue recovery projects</li><li>Your approach to resolving A/R and denied claims</li><li>Your availability and project rates</li></ul>Send inquiries to: info@preventivemedicinevt.comPay: $35.00 - $40.00 per hourBenefits:<ul><li>Flexible schedule</li><li>Paid time off</li></ul>Work Location: Hybrid remote in Colchester, VT 05446

Medical Billing Specialist/ Revenue Cycle Consultant

Mid-America Gastrointestinal Consultants

Job Overview We are seeking a highly skilled and motivated Certified Medical Billing Specialist to join our dynamic healthcare team. In this role, you will be responsible for managing the complete billing process, ensuring accurate coding, timely submission of claims, and effective follow-up on unpaid accounts. Your expertise will help optimize revenue cycles while maintaining compliance with industry standards and regulations. This position offers an exciting opportunity to contribute to high-quality patient care by ensuring smooth financial operations within a fast-paced medical environment.Responsibilities<ul><li>Accurately assign and review medical codes including CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) codes to ensure proper billing and reimbursement.</li><li>Prepare, review, and submit insurance claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems efficiently.</li><li>Follow up on unpaid or denied claims through effective medical collection procedures, including resubmission and appeals.</li><li>Verify patient insurance coverage, benefits, and eligibility prior to billing.</li><li>Maintain comprehensive medical records and documentation related to billing activities, ensuring compliance with privacy laws and regulations.</li><li>Collaborate with healthcare providers to clarify diagnoses or procedures requiring precise ICD coding or DRG classifications.</li><li>Stay current with industry updates related to medical coding standards, including changes in ICD-10, ICD-9, CPT coding, and other relevant regulations.</li></ul>Experience<ul><li>Proven experience in medical billing with a strong understanding of medical terminology and coding practices.</li><li>Familiarity with EMR systems and EHR platforms used for billing and record management.</li><li>Knowledge of medical records management, insurance processes, and healthcare reimbursement procedures.</li><li>Experience handling medical collections and resolving claim discrepancies efficiently.</li><li>Prior work in a medical office environment is preferred to understand workflow dynamics thoroughly.</li><li>Certification as a Medical Billing Specialist from an accredited organization is required; ongoing education in ICD coding updates is highly valued. Join us to be part of a dedicated team committed to excellence in healthcare administration! Your expertise will directly impact the efficiency of our operations while supporting exceptional patient care through precise financial management.</li></ul>Preferred Skills<ul><li>Experience with prior authorizations for GI procedures</li><li>Knowledge of payer-specific billing requirements</li><li>Ability to work independently and meet deadlines</li></ul>Pay: $23.32 - $28.08 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Certified Medical Billing Specialist

Search 10000+ Senior medical billing specialist jobs near you this March. New roles added regularly across leading industries. Apply today.

10000 senior medical billing specialist jobs Near Me

Medical Billing Specialist

Senior Billing Specialist

Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist/ Revenue Cycle Consultant

Certified Medical Billing Specialist