Billing Specialist

Overview

• Provide billing support for healthcare services, ensuring accurate insurance claims processing and patient account management.
• Evaluate patient financial status and establish budget payment plans as required.
• Verify insurance benefits and notify patients of their responsibilities.
• Scrub claims for accurate ICD-10 and CPT code charges against physician progress notes.
• Follow up on outstanding or denied claims, submitting corrections and appeals as needed.
• Post ERA payments and maintain organized financial records.
• Perform additional administrative tasks to support billing operations.

Key Responsibilities & Duties

• Answer patient calls, resolving billing inquiries and providing financial guidance.
• Verify insurance benefits and obtain referrals for scheduled appointments.
• Scrub claims for accurate coding and prepare them for electronic billing.
• Follow up with insurance companies on outstanding claims and submit appeals.
• Post ERA payments and maintain detailed financial records.
• Collaborate with healthcare providers to ensure accurate billing practices.
• Perform other duties as assigned to support the billing department.

Job Requirements

• High School Diploma or GED required; additional certifications in medical billing preferred.
• 1-2 years of relevant experience in medical billing or insurance claims processing.
• Proficiency in ICD-10 and CPT coding standards.
• Strong organizational skills and attention to detail.
• Ability to work independently and manage multiple tasks effectively.
• Knowledge of insurance terminology and functions.
• Experience with electronic billing systems and ERA payment posting.