OPERATIONS

Medical Billing Specialist

Job Description

We are looking for a detail-oriented Medical Billing Specialist to join our healthcare Revenue Cycle Management team. The ideal candidate will have experience in medical billing, claims processing, payment posting, and insurance follow-up.

The Medical Billing Specialist will be responsible for supporting accurate and timely billing operations while helping healthcare providers maintain a healthy revenue cycle.

You will work closely with internal teams to process claims, resolve billing issues, follow up on outstanding accounts, and maintain accurate patient and insurance information.

Key Responsibilities

  • Prepare and submit accurate medical claims to insurance companies.
  • Review claims for errors and resolve billing discrepancies.
  • Follow up on unpaid, rejected, and denied claims.
  • Perform payment posting and account reconciliation.
  • Verify patient and insurance information.
  • Maintain accurate billing records and documentation.
  • Coordinate with internal teams to resolve billing-related issues.
  • Meet defined quality, productivity, and turnaround-time targets.

Requirements

  • 2+ years of experience in US medical billing or healthcare RCM.
  • Good understanding of medical billing and insurance processes.
  • Knowledge of claims, denials, AR follow-up, and payment posting.
  • Strong attention to detail and analytical skills.
  • Good written and verbal communication skills.
  • Ability to work effectively in a team environment.

Preferred Skills

Medical BillingClaims ProcessingDenial ManagementAR Follow-upPayment PostingUS Healthcare RCM

Ready to Join CareFirst Solutions?

If you believe this role matches your skills and experience, we would love to hear from you.