Medical Biller / Collections Specialist

Job Description

Job Description

Our client is looking for a medical billing specialist to join their team on a contract to hire basis. This is a hybrid role and will require in office days 3 times a week. CPC is a must have and great communication preferred.

Responsibilities :

• Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy and compliance.
• Monitor claim submission activities and generate reports to track progress and efficiency.
• Assemble and mail claims with all necessary documentation, including attachments, explanations of benefits (EOBs), and proper postage.
• Research patient encounter details to ensure proper packaging and billing of services in alignment with contract guidelines.
• Identify and resolve claim discrepancies proactively, collaborating with internal teams and external stakeholders.
• Manage invalid claims by correcting errors and updating physician and contract information.
• Operate automated systems to retrieve patient demographics, insurance details, and generate reports.
• Perform data entry for essential claim components, reconciling daily charges to ensure accuracy and compliance with turnaround requirements.
• Maintain organized records of claims, including storage of batches, transmittals, EOBs, and related documents.
• Participate in staff meetings, continuing education programs, and provide coverage for all billing activities as needed.our
• At least 5 years of experience in medical billing, with relevant expertise in hospital or physician office billing.
• Proficiency in computer systems, including Word, Excel, email, and internet applications.
• Knowledge of medical appeals, denials, and collections processes.
• CPT Code knowledge preferred
• Strong communication skills
• Certified coder- CPC must have