Insurance Billing Specialist
Job Title: Billing Specialist
Position Summary: We are seeking a detail-oriented and experienced Billing Specialist to manage and process billing activities with a strong focus on Medicaid compliance. This role is responsible for ensuring accurate and timely submission of claims, resolving billing discrepancies, and maintaining up-to-date knowledge of Medicaid regulations and payer requirements.
Key Responsibilities:
- Prepare, review, and submit claims to Medicaid and other third-party payers in accordance with established guidelines.
- Ensure billing practices comply with federal and state Medicaid regulations.
- Monitor claim status, follow up on unpaid claims, and resolve denials or rejections promptly.
- Maintain accurate records of billing activities and payment transactions.
- Collaborate with internal departments to verify service documentation and eligibility.
- Respond to inquiries related to billing, payments, and account status.
- Generate reports on billing performance, outstanding claims, and reimbursement trends.
- Stay current with changes in Medicaid policies and payer requirements.
Qualifications:
- High school diploma or equivalent; associate degree or certification in medical billing/coding preferred.
- Minimum of 2 years of experience in medical billing, with a strong emphasis on Medicaid billing.
- In-depth knowledge of Medicaid rules, billing codes, and reimbursement procedures.
- Proficiency in billing software and electronic health record (EHR) systems.
- Strong analytical, organizational, and communication skills.
- Ability to work independently and manage multiple priorities in a fast-paced environment.
Job Type: Full-time
Pay: $22.00 - $25.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: In person
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