Medical Billing Specialist

MDB Health Services • Flowood, MS

5d

About The Position

Core duties emphasize Accounts Receivable functions across the entire billing cycle:
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).

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

• Preferred certifications: 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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED