Medical Billing Specialist

Job Overview

Medical Billing Specialist

We are seeking a detail-oriented and experienced Medical Billing Specialist to join our client’s healthcare team. The ideal candidate will be responsible for accurately and efficiently handling medical billing tasks, ensuring timely submission of claims, and maximizing revenue for the organization.

The Medical Billing Specialist will work closely with healthcare providers, insurance companies, and internal teams to streamline the billing process and resolve any issues that may arise.

Responsibilities :

Claims Processing : Prepare and submit accurate and timely insurance claims for medical services provided. Verify patient information, insurance coverage, and coding accuracy before claim submission.

Follow up on unpaid or denied claims and resubmit as necessary.

Coding and Documentation : Review medical documentation to assign appropriate codes for billing purposes. Ensure compliance with coding guidelines, medical billing regulations, and insurance policies.

Collaborate with healthcare providers to clarify and obtain missing or incomplete information.

Patient Billing : Generate patient statements and invoices for services rendered. Communicate with patients regarding their billing inquiries and provide assistance in understanding their financial responsibilities.

Set up payment plans and coordinate with patients to facilitate timely payments.

• Insurance Verification : Verify insurance coverage and eligibility for patients. Communicate with insurance companies to resolve any issues related to claims processing.
• Financial Reporting : Generate and analyze reports related to billing and collections. Provide regular updates on key performance indicators and identify areas for improvement.
• Compliance and Quality Assurance : Stay current with industry regulations, coding updates, and billing best practices.

Conduct periodic audits to ensure accuracy and compliance with billing standards.

Team Collaboration : Work closely with healthcare providers, physicians, and internal teams to address billing-related issues and optimize the revenue cycle.

Provide training and support to staff on billing processes and documentation requirements.

Requirements :

• Minimum of 2 years’ experience working within billing, insurance, or accounts receivable
• Comfortability working with a high volume of bill processing.
• Knowledge of healthcare insurance policies, procedures, and regulations.
• Excellent attention to detail and accuracy.
• Strong communication and interpersonal skills.
• Ability to work independently and collaboratively in a team environment.
• Familiarity with electronic health records (EHR) and practice management systems.

Sherpa Benefits

Sherpa offers benefits to contract employees who meet the following criteria :

• Must be a full-time employee (30+ weekly hours / hours per month) to be eligible
• Medical plan offered is BCBSNC Blue Options PPO
• Premiums will be pre-taxed
• Sherpa pays a portion of the Employee only premium for medical
• 90 day waiting period from date of hire
• Medical, Dental, and Vision plans

Additional Job Details

Workplace Policy : #li-Onsite

Seniority Level : Associate

Linked In Poster : #LI-LH2

About our Process

• We will notify you if you are selected as a candidate for this role. If not, but you fit our specializations, we'll consider you for future openings, and encourage you to apply for other Sherpa roles you're qualified for / interested in.
• Non-Local Candidates : Please note that you are competing with local candidates who don’t require relocation expenses and can start quickly, so let us know if you have plans to move to the area soon.
• Candidates for all Sherpa opportunities must be authorized to work in the United States.
• Sherpa is an Equal Opportunity Employer.
30+ days ago