Medical Billing Specialist
Job Summary
We are seeking a Medical Billing Specialist to manage patient billing inquiries and resolve insurance-related issues. The ideal candidate will guide patients through billing statements and ensure compliance with relevant regulations. This role requires strong analytical skills and at least 1-2 years of experience in medical billing or healthcare revenue cycle management.
Responsibilities
- Manage billing and insurance inquiries via calls, emails, and chats
- Investigate and resolve billing issues, denials, and discrepancies
- Ensure compliance with HIPAA and TCPA regulations
Required Skills
- 1–2 years experience in medical billing or RCM
- Strong analytical and problem-solving skills
- Excellent written and verbal communication
Job Details
Key Responsibilities:
- Manage inbound and outbound calls, emails, and chats regarding patient billing and insurance-related inquiries.
- Guide patients in understanding their billing statements, charges, and insurance coverage details.
- Investigate and resolve billing issues, claim denials, and payment discrepancies.
- Accurately record all customer interactions in the system while ensuring compliance with regulations such as HIPAA and TCPA.
- Escalate complicated billing or compliance concerns to the appropriate senior staff when necessary.
- Inform patients about payment arrangements, insurance benefits, and available financial assistance programs.
- Achieve performance goals including resolution time, accuracy, and customer satisfaction.
Qualifications:
- At least 1–2 years of experience in medical billing, healthcare revenue cycle management (RCM), or customer support.
- Strong analytical and problem-solving skills, with the ability to simplify complex billing information.
- Excellent written and verbal communication skills.
- Ability to manage confidential information with professionalism and discretion.