Medical Billing Specialist Healthcare Claims

• Prepare and submit clean claims to Medicare, Medicaid, commercial insurance carriers, and self -pay patients.
  

• Review patient and insurance information, diagnosis codes, and treatment details for accuracy.
  

• Enter charges quickly and accurately to support efficient payment processing.
  

• Ensure timely filing of claims via clearinghouse or directly to payers.
  

• Review and correct claim edits within 24 hours of notification.
  

• Handle private pay collections after insurance denials or cancellations.
  

• Answer patient billing questions regarding copays, deductibles, and balances.
  

• Perform self -pay billing and generate patient statements.
  

• Maintain compliance with HIPAA and insurance guidelines.
  

• Support revenue cycle management through accurate documentation and problem -solving.
  

Qualifications:

• High School Diploma or GED (Associate’s Degree preferred).
  

• 2+ years of medical billing experience.
  

• MediClear Certification (or equivalent) required.
  

• Knowledge of Medicaid, Medicare, and commercial insurance billing rules.
  

• Proficiency with CPT, HCPCS, ICD -10 coding, and modifier usage.
  

• Familiarity with EHR systems (Intergy or similar preferred).
  

• Strong MS Office skills, especially Excel.
  

• Attention to detail, organizational skills, and the ability to multi -task in a fast -paced environment.
  

Compensation & Benefits:

• Competitive compensation package.
  

• Generous paid time off (PTO) 
  

• Full health, dental, and vision benefits.
  

• Company -paid pension plan.