Medical Billing Specialist

• Review patient demographic, insurance, and service information for accuracy and completeness
• Prepare and submit claims in accordance with payer, contractual, and regulatory requirements
• Review claim status and follow up on unpaid, rejected, or denied claims
• Research and resolve billing discrepancies, claim edits, and reimbursement issues
• Assist with account reconciliation and identify outstanding balances requiring follow up
• Maintain organized and accurate billing records within internal systems
• Contribute to process improvements that increase accuracy, improve efficiency, and reduce claim rejections and denials
• Provide clear and professional communication regarding coverage and patient financial responsibility

• Working knowledge of medical billing processes, including charge entry, claim submission, payment posting, claim follow up, and denial resolution
• Knowledge of Medicare and Medicaid requirements
• Experience working with payer requirements across multiple states. Familiarity with plans in Utah, Nevada, Texas, and Washington a plus
• Ability to learn new systems and processes quickly. Advanced MD, Gehrimed, Availity, Noridian, Prism, UHC a plus
• Ability to navigate multiple payer portals and computer systems efficiently
• Experience working with skilled nursing facilities or other post acute care settings

• Comprehensive benefits package including medical, dental, and vision insurance
• Six company paid holidays
• Paid time off
• Opportunities for professional development and career advancement reimbursement with manager approval

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