Job description · Healthcare admin · Full-time
Medical Billing Specialist job description
A medical billing specialist gets claims paid. They submit clean claims, post payments, work denials, and follow up with payers so the practice's revenue cycle runs smoothly.
Responsibilities
- Review charges and submit clean claims to payers
- Post payments and adjustments from ERAs and EOBs
- Work denials and rejections and file appeals
- Follow up on unpaid claims by aging bucket
- Answer patient billing questions
- Report monthly on collections and denial reasons
Requirements
- Two or more years in U.S. medical billing
- Working knowledge of CPT, ICD-10, and payer rules
- Comfort with clearinghouses and EHR billing modules
- Persistent and organized follow-up
- HIPAA compliance
Tools
- Kareo, AdvancedMD, or athenahealth
- Availity or other clearinghouses
- Payer portals
- Excel
What success looks like after 90 days
- Claims submitted within the agreed days of service
- Denials worked weekly with root causes tracked
- Aging report reviewed monthly
Screening questions
Ask these before you book an interview.
- Which specialties have you billed for?
- Which billing systems and clearinghouses have you used?
- Do you hold a billing certification?
- This is a full-time role working set hours each business day. Can you commit to that schedule?
Interview questions
- A payer keeps denying the same code. What do you do?
- Walk me through posting an ERA with partial payments.
- How do you prioritize an aging report?
- How do you explain a bill to a confused patient?
Hiring tip
Ask for the candidate's denial-tracking method. Billers who track root causes fix problems instead of reworking them.
Medical Billing Specialist hiring FAQ
What does a Medical Billing Specialist do?
A medical billing specialist gets claims paid. They submit clean claims, post payments, work denials, and follow up with payers so the practice's revenue cycle runs smoothly. Day to day, the role covers work such as: review charges and submit clean claims to payers, post payments and adjustments from ERAs and EOBs, and work denials and rejections and file appeals.
How much does it cost to hire a full-time Medical Billing Specialist from the Philippines?
We place a full-time Medical Billing Specialist from the Philippines for $1,800 a month. Every candidate passes our top 2% vetting, starts within 14 days, and comes with a 1-week trial backed by a replacement or refund. The price is a flat monthly rate for a dedicated full-time hire.
What skills should a Medical Billing Specialist have?
Look for: two or more years in U.S. medical billing, working knowledge of CPT, ICD-10, and payer rules, comfort with clearinghouses and EHR billing modules, and persistent and organized follow-up. Common tools include Kareo, AdvancedMD, or athenahealth, Availity or other clearinghouses, Payer portals, and Excel.
What should a Medical Billing Specialist achieve in the first 90 days?
Claims submitted within the agreed days of service, denials worked weekly with root causes tracked, and aging report reviewed monthly.
Can I copy and edit this Medical Billing Specialist job description?
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Want us to find your Medical Billing Specialist?
We place a full-time Medical Billing Specialist from the Philippines for $1,800 a month. Every candidate passes our top 2% vetting, starts within 14 days, and comes with a 1-week trial backed by a replacement or refund.