Medical Billing Specialist

About This Role

The Medical Billing Specialist will support daily billing operations to ensure accurate claims processing, reimbursement, and compliance with healthcare regulations. This role is crucial for maintaining efficient revenue cycle operations and supporting quality patient care within Interim Healthcare's administrative team.

Responsibilities

• Submit and process medical claims to insurance providers in a timely manner
• Verify patient insurance coverage, eligibility, and benefits
• Review clinical documentation to ensure billing accuracy and compliance
• Monitor claim status and follow up on unpaid or denied claims
• Post insurance and patient payments, adjustments, and explanations of benefits
• Communicate with insurance companies, patients, and internal staff regarding billing questions
• Maintain strict patient confidentiality and comply with HIPAA guidelines
• Assist with billing reports, audits, and account reconciliation as needed

Requirements

• High school diploma or equivalent
• Strong attention to detail and organizational skills
• Excellent communication and customer service skills
• Proficiency with computer systems and electronic medical record (EMR) software

Qualifications

• High school diploma or equivalent required

Nice to Have

• Previous medical billing or healthcare revenue cycle experience
• Knowledge of Medicare, Medicaid, and commercial insurance billing
• Familiarity with CPT, ICD-10, and HCPCS coding

Skills

* Required skills