Medicare Billing Specialist
Job Pay
* to apply for this poistion, please visit the Advanced Employment office
We are seeking a detail-oriented, organized, and dependable Medicare Billing Specialist to join a busy medical office. This position is responsible for processing and following up on Medicare and other insurance claims, researching billing discrepancies, resolving denials, and ensuring claims are processed accurately and efficiently.
The ideal candidate will have strong communication skills, excellent attention to detail, and the ability to manage multiple responsibilities while providing exceptional customer service.
Why Apply?
This is an excellent opportunity for an organized and motivated individual who enjoys problem-solving, working with people, and contributing to an efficient medical billing department. We are looking for someone who takes pride in accuracy, follows through on responsibilities, and works well as part of a professional healthcare team.
Apply today to learn more about this opportunity!
Job Duties
– Review and process insurance Explanation of Benefits (EOBs), identify billing errors, and research denied or unpaid claims.
– Follow up with Medicare and other insurance providers regarding outstanding claims, payment delays, and reimbursement issues.
– Prepare and submit claim appeals, medical records, operative reports, and other supporting documentation as needed.
– Monitor outstanding claims and follow-up reminders to ensure timely resolution.
– Maintain accurate account notes documenting claim statuses, communications, and actions taken.
– Communicate professionally with patients, insurance representatives, and medical office personnel.
– Prepare and submit insurance claim forms with all required supporting documentation.
– Upload medical records and other necessary documents through insurance company portals.
– Assist with billing audits, account reviews, and identifying discrepancies.
– Maintain compliance with HIPAA regulations and patient confidentiality requirements.
– Perform additional billing and administrative duties as assigned.
Job Requirements
– Minimum of 1 year of office experience, preferably in a medical office or healthcare billing environment.
– Previous experience with Medicare billing, insurance claims, or medical accounts receivable preferred.
– Familiarity with medical terminology, insurance EOBs, and claims processing is highly desirable.
– Basic knowledge of HIPAA regulations and patient privacy requirements.
– Proficiency in computer applications, word processing, and electronic recordkeeping.
– Experience navigating insurance portals and working with electronic claims preferred.
– Ability to operate a multi-line telephone system and communicate professionally.
Skills & Abilities
– Strong organizational skills with excellent attention to detail.
– Ability to independently research and resolve billing discrepancies.
– Excellent written and verbal communication skills.
– Exceptional customer service and professional telephone etiquette.
– Ability to multitask, prioritize responsibilities, and meet deadlines.
– Strong problem-solving skills with the ability to work independently and take initiative.
– Ability to remain professional and composed in stressful situations.
– Dependable, motivated, and able to work cooperatively in a team-oriented environment.
– Willingness to learn new billing procedures, insurance requirements, and office systems.
Physical Requirements & Work Environment
– Primarily office-based position requiring extended periods of sitting and computer use.
– Frequent use of a keyboard, telephone, and standard office equipment.
– Occasional bending, reaching, and lifting of up to 30 pounds.
– Ability to maintain accuracy and productivity in a fast-paced medical office environment.