Medical Billing Specialist I (Full-Time)
About The Position
The Medical Billing Specialist I supports Child Serve’s healthcare operations by preparing accurate billing submissions, processing claims on time, and resolving rejections, denials, and payment discrepancies. The role verifies charges and codes, maintains accurate patient and insurance information, generates family invoices, and conducts collection activities. It also involves communicating with patients, families, payers, and colleagues to resolve billing matters, maintaining confidentiality, and following HIPAA regulations. The position is based at Child Serve’s Johnston location during general business hours, Monday through Friday, 8:00 a.m. to 4:00 p.m. Hybrid work is an option once training is complete.
Requirements
- Proficiency with Microsoft applications, including Outlook, Word, and Excel.
- Strong attention to detail.
- Ability to maintain confidentiality regarding clients, staff, their families, and Child Serve business.
- Ability to maintain positive working relationships and demonstrate sensitivity to and respect for a diverse population.
- Ability to communicate effectively in reading, writing, and speaking English.
Nice To Haves
- Associate degree in accounting, Business Management, or a healthcare-related field.
- One year of medical billing experience, with an understanding of medical terminology and coding.
Responsibilities
- Verify charges, procedure codes, and diagnosis codes, using appropriate modifiers and diagnosis digits.
- Prepare and submit billing to the correct payers weekly or monthly within specified timelines.
- Review and appeal unpaid claims to resolve payment discrepancies and support accurate, timely reimbursement.
- Generate monthly invoices for families and conduct collection activities, including contacting patients and third-party payers.
- Ensure patient demographics and insurance information are accurately entered into the system.
- Follow HIPAA regulations and maintain patient confidentiality.
- Communicate with patients, insurance providers, and internal and external teams to identify and resolve billing issues or concerns.
- Report billing or reimbursement trends and issues to leadership.
- Serve as a resource for patients, families, providers, and payers regarding patient accounts and applicable regulations.
- Provide phone coverage, respond to patient inquiries, and complete payment transactions over the phone.
Benefits
- Medical, dental, and vision insurance.
- 403(b) retirement plan with an employer match.
- Onsite cafeteria with free fountain drinks and low-priced meals.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
