Medical Billing Specialist II

Signature Performance, Inc.•,

5h•Onsite

About The Position

In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. This involves reviewing and processing claims for services rendered to ensure accurate billing to insurance payers and patients. You will verify the accuracy of billing information, including procedure codes (CPT), diagnosis codes (ICD-10), modifiers, and patient demographics. The role includes submitting primary and secondary claims electronically or via paper, resolving claim rejections and errors by correcting and resubmitting in a timely manner, and monitoring unpaid or delayed claims to initiate follow-up or re-bill as necessary. You will collaborate with coding, registration, and clinical teams to resolve billing issues or obtain missing information, generate claims and statements, and respond to billing inquiries professionally and promptly. Additionally, you will assist with AR follow-up to ensure claims are being processed and reimbursed timely, and stay current with billing regulations, payer requirements, and compliance guidelines (e.g., HIPAA). Meeting department productivity, accuracy, and quality benchmarks is also a key aspect of this position.

Requirements

High school diploma or equivalent required
Minimum of 2 years of experience in medical billing or revenue cycle operations.
Knowledge of healthcare billing practices, insurance processes, and medical terminology.
Proficient in billing software and electronic health record (EHR) systems (e.g., Epic, Cerner, Meditech, NextGen).
Understanding of CPT, ICD-10, HCPCS coding, and claim submission standards.
Strong communication, organizational, and problem-solving skills.
Ability to work independently and handle sensitive information with confidentiality.
U.S. Citizenship or naturalized citizenship is required for this position.
All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

Nice To Haves

Associate's degree in a related field preferred.
Certification in medical billing and coding (e.g., CPB, CPC, or equivalent).
Experience in billing for hospital, physician, or multi-specialty group practices.
Familiarity with Medicare, Medicaid, and commercial insurance guidelines.

Responsibilities

Review and process claims for services rendered to ensure accurate billing to insurance payers and patients.
Verify accuracy of billing information, including procedure codes (CPT), diagnosis codes (ICD-10), modifiers, and patient demographics.
Submit primary and secondary claims electronically or via paper, as required.
Resolve claim rejections and errors by correcting and resubmitting in a timely manner.
Monitor unpaid or delayed claims; initiate follow-up or re-bill as necessary.
Collaborate with coding, registration, and clinical teams to resolve billing issues or obtain missing information.
Generate claims and statements as dictated by scope.
Respond to billing inquiries professionally and promptly.
Assist with AR follow-up to ensure claims are being processed and reimbursed timely.
Stay current with billing regulations, payer requirements, and compliance guidelines (e.g., HIPAA).
Meet department productivity, accuracy, and quality benchmarks