Medical Billing Specialist

Job Summary

The Elite Job is seeking a detail-oriented and experienced Medical Billing Specialist to join our dynamic healthcare support team. As a Medical Billing Specialist, you will be responsible for managing all aspects of the billing cycle, including submitting claims to insurance companies, resolving billing issues, and ensuring accurate and timely reimbursements. This is a crucial role that supports the financial operations of our healthcare partners and ensures compliance with all relevant regulations.

Key Responsibilities

• Review and process medical claims for services rendered, ensuring accuracy and completeness.

• Submit claims electronically or manually to private insurers, Medicare, and Medicaid.

• Monitor and track claim statuses, following up with insurance providers as needed.

• Correct and resubmit denied or rejected claims in a timely manner.

• Verify patient insurance coverage and benefits prior to claim submission.

• Prepare and send patient statements and respond to patient billing inquiries.

• Reconcile payments received and ensure proper posting to accounts.

• Maintain patient confidentiality and handle sensitive information in compliance with HIPAA guidelines.

• Collaborate with medical staff, insurance companies, and patients to resolve billing discrepancies.

• Generate financial and billing reports as required by management.

Required Skills and Qualifications

• High school diploma or GED required; Associates or Bachelors degree in healthcare administration or related field preferred.

• Certification in medical billing or coding (e.g., CPC, CPB, CMRS) is a plus.

• Proficiency in medical terminology, billing software, and EHR systems.

• Strong knowledge of ICD-10, CPT, and HCPCS coding.

• Understanding of payer requirements including Medicare and Medicaid.

• Excellent attention to detail and organizational skills.

• Strong communication and customer service skills.

• Ability to manage multiple tasks and meet deadlines with minimal supervision.

Experience

• Minimum of 1–3 years of experience in medical billing or a related healthcare administrative role.

• Prior experience with claim denials and appeals is highly desirable.

Working Hours

• Monday to Friday

• 9:00 AM to 5:00 PM (flexible schedule may be available)

• Fully remote with the expectation of consistent internet connectivity and availability during business hours.

Knowledge, Skills, and Abilities

• In-depth understanding of healthcare billing procedures and insurance claims processes.

• Ability to read and interpret EOBs (Explanation of Benefits).

• Familiarity with HIPAA regulations and confidentiality practices.

• Capability to handle high-volume data entry with accuracy.

• Proficient in Microsoft Office Suite (especially Excel) and medical billing software such as Kareo, Athena, or AdvancedMD.

Benefits

• Competitive salary based on experience

• Performance-based incentives and bonuses

• Health, dental, and vision insurance (for eligible employees)

• Paid time off and holidays

• Ongoing training and development opportunities

• Work-from-home flexibility

• Supportive and collaborative team culture

Why Join The Elite Job?

At The Elite Job, we believe in fostering a culture of excellence, flexibility, and professional growth. As a trusted partner in healthcare support services, we empower our team members to work independently while being part of a close-knit, mission-driven environment. Join us and contribute to improving healthcare efficiency—one claim at a time.

How to Apply

If you are passionate about healthcare administration and want to make a difference from the comfort of your home, we would love to hear from you! Please send your updated resume and a brief cover letter outlining your experience to us. Ensure your subject line reads: Application – Medical Billing Specialist.

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