Job Title: Medical Billing Specialist (Urgent Care Office)

This role is critical to ensuring accurate reimbursement, patient satisfaction, and compliance for the client. The ideal candidate is a proactive problem-solver who can manage the full revenue cycle, reduce denials, and maintain clear communication with patients and insurers.

Employment Type: Full-time (35 hours/week)
Schedule: Monday to Friday, 9:00 AM to 5:00 PM, 1-hour unpaid break daily, 35 hours per week

Responsibilities

• Post insurance payments and reconcile Explanation of Benefits (EOBs) accurately.
• Review patient accounts, verify balances, and ensure timely collection of outstanding payments.
• Contact patients regarding unpaid balances, explain billing details, and arrange payment plans when necessary.
• Submit clean claims to Medicare, Medicaid, and commercial insurers; monitor claim status and follow up on denials.
• Investigate and appeal denied claims with clear documentation.
• Maintain compliance with HIPAA and payer regulations while safeguarding patient financial information.
• Collaborate with clinical and administrative staff to ensure accurate coding and charge entry.
• Generate patient statements and invoices, ensuring clarity and accuracy.
• Track accounts receivable aging and escalate unresolved balances.

Requirements

• Experience: Minimum 2 years in medical billing, preferably in urgent care or specialty practice.
• Technical Skills: Proficiency with medical billing software, EHR systems, and clearinghouse portals.
• Communication: Excellent verbal and written communication skills for patient interaction and insurer correspondence.
• Detail Orientation: Ability to identify discrepancies in claims, payments, and balances with precision.
• Compliance: Familiarity with HIPAA and healthcare billing regulations.

Preferences

• Prior experience in dermatology or aesthetic surgery billing.
• Strong negotiation skills for handling patient collections and insurance appeals.
• Ability to work independently while contributing to a collaborative team environment.