Medical Billing Specialist
Job Summary
We are seeking a Medical Billing Specialist to handle patient billing inquiries, resolve claim discrepancies, and ensure compliance with healthcare standards. The ideal candidate will assist patients with billing statements, insurance coverage, and payment plans while meeting performance targets. Qualifications include 1–2 years of experience in medical billing or customer support and strong communication skills.
Responsibilities
- Handle inbound/outbound communications for billing and insurance queries
- Research and resolve billing discrepancies and claim rejections
- Educate patients on payment plans and insurance benefits
- Meet performance targets for resolution time, accuracy, and satisfaction
Required Skills
- 1–2 years medical billing or customer support experience
- Knowledge of medical terminology and EHR systems
- Strong problem-solving and communication skills
- Ability to handle confidential information professionally
Job Details
Responsibilities
- Handle inbound and outbound calls, emails, and chats related to patient billing and insurance queries.
- Assist patients in understanding their statements, charges, and insurance coverage.
- Research and resolve billing discrepancies, denials, and claim rejections.
- Coordinate with internal billing, coding, and insurance teams to ensure accurate claim submission and resolution.
- Document all interactions in the system with accuracy and attention to compliance requirements (HIPAA, TCPA, etc.).
- Escalate complex issues to senior billing or compliance staff when necessary.
- Educate patients on payment plans, insurance benefits, and financial assistance options.
- Meet performance targets such as call resolution time, accuracy, and customer satisfaction.
Qualifications
- 1–2 years of experience in medical billing, healthcare RCM, or customer support.
- Knowledge of medical terminology, insurance claims processes, and EHR systems is highly preferred.
- Strong problem-solving skills with the ability to explain complex billing concepts in a simple way.
- Excellent verbal and written communication skills.
- Ability to handle sensitive information with professionalism and confidentiality.