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Medical Billing & Collection Specialists
Posted: 01/05/2026
Job Number: 22159
Job Description
Position Summary
The Billing Specialist is responsible for all aspects of medical accounts receivable collections for a physician medical group. This role focuses on insurance claim follow-up, denial resolution, and responding to patient and clinic billing inquiries while utilizing effective collection techniques to maintain current accounts receivable.
Key Responsibilities
The Billing Specialist is responsible for all aspects of medical accounts receivable collections for a physician medical group. This role focuses on insurance claim follow-up, denial resolution, and responding to patient and clinic billing inquiries while utilizing effective collection techniques to maintain current accounts receivable.
Key Responsibilities
- Follow up on insurance claims to ensure timely and accurate payment.
- Research, resolve, and appeal denied or underpaid claims for assigned insurance payers.
- Communicate professionally with patients and insurance companies regarding sensitive financial matters.
- Respond to patient billing inquiries and initiate billing adjustments as needed.
- Review zero-payment Explanation of Benefits (EOBs) and pursue all options for claim resolution.
- Review assigned accounts monthly, identify discrepancies, and correct billing errors.
- Research account issues and follow up with patients, clinics, and payers as required.
- Initiate refund requests for researched overpayments from payers or patients.
- Submit debt write-off requests in accordance with policy.
- Provide support for internal account-related inquiries as needed.
- High School Diploma or GED required.
- Minimum of 2 years of medical billing and/or collections experience in a physician or medical facility setting.
- Knowledge of government payers including Medicare Part B & C, Medicaid, Tricare, and related plans.
- Familiarity with commercial insurance plans (PPO, HMO, EPO, HRA, etc.).
- Working knowledge of CPT, HCPCS, and ICD-10 coding.
- Understanding of HIPAA compliance and patient privacy standards.
- Proficiency in Microsoft Word, Excel, and Outlook.
- Experience with EMR systems (eClinicalWorks preferred, not required).
- Strong multitasking, time management, and teamwork skills.
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