Medical Billing Specialist

A growing healthcare and medical facility in the Baltimore, MD area seeks a qualified Medical Billing Specialist

Key Responsibilities

• Prepare, review, and submit medical claims to insurance companies and third-party payers (both electronic and paper submissions).
• Verify patient insurance coverage and eligibility prior to billing.
• Review medical records and codes for accuracy and compliance with CPT, ICD-10, and HCPCS guidelines.
• Follow up on unpaid or denied claims and resolve billing discrepancies with payers.
• Post payments, adjustments, and refunds accurately in the billing system.
• Maintain patient billing records and respond to patient inquiries regarding statements or balances.
• Collaborate with providers, clinical staff, and insurance representatives to resolve billing issues.
• Ensure compliance with HIPAA, payer policies, and federal / state regulations.
• Generate reports on accounts receivable, billing performance, and aging claims as requested.

Qualifications

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county , to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.