Medical Billing Specialist (Accounts Receivable Focus)

MDB Health ServicesFlowood, MS
75dOnsite

About The Position

We are seeking a detail-oriented Medical Billing Specialist with a focus on Accounts Receivable to support our in-house revenue cycle operations. This role involves overseeing the full AR process for multiple Rural Health Clinics, including timely and accurate billing of Part A and Part B services. You'll be joining a collaborative, supportive team at our company headquarters.

Requirements

  • Minimum 2 years of medical billing experience
  • Strong working knowledge of the full AR lifecycle within a healthcare setting
  • High school diploma or GED (required)
  • Proficient in billing both electronic and paper claims
  • Strong understanding of ICD-10, CPT/HCPCS coding, and modifier usage
  • Ability to interpret insurance guidelines for Medicare, Medicaid, and commercial payers
  • Skilled in EHR/EMR navigation, payor portals, and billing software
  • Strong phone communication and problem-solving skills for working denials and collections
  • Familiarity with payor bundling/unbundling rules, medical necessity criteria, and common denial reasons

Nice To Haves

  • CCS
  • CCSP
  • CPC
  • CPC-P
  • RHIA
  • COC
  • Associate degree or higher in Health Information Management, Healthcare Administration, or related field

Responsibilities

  • Daily claim submission to insurance payers
  • Research and resolve denied, rejected, or no-response claims, including correction and appeals
  • Follow up on unpaid or underpaid claims in a timely and persistent manner to ensure resolution and maximize reimbursement
  • Maintain updated patient and insurance data in billing software to ensure claims are accurate and up to date
  • Collaborate with team leads and supervisors on reimbursement issues, trends in denials, or workflow improvements
  • Respond to requests for medical records and additional claim documentation as needed
  • Assist with reporting and documentation related to collections, AR trends, and key performance indicators (KPIs)
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