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Medical Billing Specialist

https://www.roberthalf.com Logo

Robert Half

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Location:
United States, Saint Louis

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Category:
Finance

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

We are seeking a dedicated and detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and collections, with a deep understanding of insurance procedures, claim management, and accounts receivable processes. As a key member of our billing department, you will be responsible for managing the billing cycle, resolving claims issues, and ensuring timely payments for medical services provided.

Job Responsibility:

  • Billing & Coding: Accurately review and submit medical claims to insurance companies, government programs (e.g., Medicare, Medicaid), and patients based on services provided
  • Accounts Receivable Management: Monitor and follow up on unpaid claims and accounts, ensuring timely resolution and payment collection
  • Claim Denial Management: Investigate and resolve denied or rejected claims, working with insurance providers to rectify issues and ensure proper reimbursement
  • Payment Posting: Post payments, adjustments, and denials to patient accounts accurately
  • Patient Communication: Communicate with patients and insurance companies to resolve billing inquiries, provide payment information, and answer any questions related to their accounts
  • Account Reconciliation: Ensure all accounts are reconciled and balanced, identifying discrepancies and making necessary adjustments
  • Compliance: Maintain up-to-date knowledge of relevant billing codes, insurance policies, and regulations to ensure compliance with industry standards and government regulations
  • Reporting: Generate and review accounts receivable reports, aging reports, and other billing data to ensure financial goals are met and identify areas for improvement
  • Collaboration: Work closely with the clinical and administrative teams to resolve any billing issues, discrepancies, or concerns

Requirements:

  • High school diploma or equivalent
  • Associate’s degree in Health Information Technology, Business Administration, or a related field is preferred
  • 1+ years of experience in medical billing and accounts receivable, preferably within a healthcare setting
  • Strong knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and insurance regulations
  • Experience with medical billing software and electronic health records (EHR) systems
  • Excellent communication skills, both verbal and written
  • Detail-oriented with strong organizational and analytical skills
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment
  • Knowledge of HIPAA regulations and confidentiality requirements
What we offer:
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
March 24, 2025

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:
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