Medical Billing Specialist
Location
United States
Posted
15 days ago
Salary
Not specified
Job Description
Role Description
We are seeking an experienced Medical Billing Specialist with expertise in claims submission and denial management across medical (primary care and cardiology), dental, and anesthesia services. This role is ideal for a detail-oriented professional who understands payer requirements and drives results by improving first-pass claim acceptance, denial resolution time, and accounts receivable (AR) performance.
- Submit clean, accurate claims for primary care, dental, and anesthesia services.
- Manage and resolve denied, rejected, and underpaid claims, including appeals and payer follow-up.
- Review EOBs and remittance advice to identify denial trends and root causes.
- Work claims to resolution while meeting defined revenue cycle KPIs (e.g., first-pass acceptance rate, denial turnaround time, AR days).
- Utilize eClinicalWorks EMR for charge entry, claim submission, and payment posting.
- Verify insurance eligibility, benefits, and authorization requirements.
- Communicate with commercial payers, Medicare, and Medicaid to resolve claim issues.
- Maintain HIPAA compliance and billing accuracy standards.
Qualifications
- 2+ years of billing experience across medical and/or dental services, with exposure to anesthesia billing preferred.
- Demonstrated success in denial management, appeals, and claims follow-up.
- Strong working knowledge of CPT, ICD-10, and ADA coding.
- Experience with eClinicalWorks or comparable EMR systems.
- Highly organized, detail-oriented, and KPI-driven.
Requirements
- Multi-specialty billing (primary care; cardiology, dental, anesthesia).
- Familiarity with anesthesia-specific billing workflows and modifiers.
- Experience managing payer correspondence and formal appeals.
- Comfort working toward measurable revenue cycle outcomes.
Benefits
- Compensation: $18-$22/hour.
- Benefits eligibility varies based on hours worked.
Job Requirements
- 2+ years of billing experience across medical and/or dental services, with exposure to anesthesia billing preferred.
- Demonstrated success in denial management, appeals, and claims follow-up.
- Strong working knowledge of CPT, ICD-10, and ADA coding.
- Experience with eClinicalWorks or comparable EMR systems.
- Highly organized, detail-oriented, and KPI-driven.
- Multi-specialty billing (primary care; cardiology, dental, anesthesia).
- Familiarity with anesthesia-specific billing workflows and modifiers.
- Experience managing payer correspondence and formal appeals.
- Comfort working toward measurable revenue cycle outcomes.
Benefits
- Compensation: $18-$22/hour.
- Benefits eligibility varies based on hours worked.
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