Billing Specialist

TEKsystems•Bountiful, UT

9d•$22 - $24•Onsite

About The Position

The Medical Billing Specialist is responsible for ensuring accurate, timely, and complete reimbursement for healthcare services through effective claims submission, denial resolution, and accounts receivable management. This role requires a self‑motivated professional with strong healthcare billing fundamentals, excellent problem‑solving skills, and the ability to work independently with minimal training. The ideal candidate will bring hands‑on experience in healthcare billing and revenue cycle operations and will quickly adapt to organization‑specific processes and systems to support optimal financial performance.

Requirements

1–3 years of billing, revenue cycle, or accounts receivable experience in a healthcare setting (2–3 years preferred).
Strong working knowledge of healthcare billing fundamentals, including claims submission, denial management, and collections.
Demonstrated experience with accounts receivable follow‑up and denial resolution.
Working knowledge of EMR and billing systems; experience with clearinghouses preferred.
Strong customer service skills with the ability to communicate effectively and professionally.
Proven ability to work independently, manage time efficiently, and complete outstanding tasks with minimal supervision.
Excellent problem‑solving and analytical skills with strong attention to detail.
Proficiency in Microsoft Office products and general computer applications.
Strong written and verbal communication skills.

Responsibilities

Submit approved claims and ensure proper acceptance through electronic and/or paper channels, as assigned.
Research, resolve, and resubmit denied or rejected claims by analyzing explanations of benefits (EOBs) and payer responses.
Take timely and routine action to collect unpaid or underpaid claims, ensuring accurate follow‑up and documentation.
Review initial claim scrubs and billing prior to submission through the clearinghouse using EMR and billing software.
Validate claims, identify errors, and make necessary corrections to ensure clean claim submission to payers.
Investigate and manage accounts receivable reports for assigned office location(s), including disputed balances.
Prepare and submit appeals as necessary to support appropriate reimbursement.
Collaborate with office staff, clinical teams, and revenue cycle colleagues to identify and resolve issues impacting claim accuracy or timeliness.
Assist management and education teams by providing guidance or training support related to billing, collections, and denial resolution processes.
Conduct monthly variance reviews for assigned location(s) and communicate trends or concerns to leadership.
Support continuous process improvement initiatives to increase billing accuracy, efficiency, and overall revenue performance.
Provide professional and courteous customer service to internal and external callers, transferring calls appropriately when needed.
Communicate regularly with supervisors regarding compliance issues, billing challenges, and accounts receivable trends.