Medical Billing Specialist
About The Position
The Medical Billing Specialist supports UCFS’s Revenue Cycle Management (RCM) department by managing and analyzing payer denials and rejections and helping identify opportunities for improvement in areas such as registration and coding. The role follows up on unpaid claims, resolves denials and rejections, supports accurate and timely claim submission, posts payments, and responds to billing questions from patients and insurance companies. The specialist collaborates with the billing team and Billing Manager, maintains current knowledge of billing rules and best practices, and complies with HIPAA and patient-confidentiality requirements. This is a full-time, 40-hour-per-week position scheduled Monday through Friday. UCFS’s hours of operation are 8:00 a.m. to 7:00 p.m., with hours varying by day and location.
Requirements
- High school diploma or GED.
- Three years of experience in medical billing.
- Experience working in a remote setting.
- Ability to continuously access an internet connection with at least 100 Mbps download and 20 Mbps upload speeds.
- Familiarity with payer portals.
- Familiarity with Microsoft Office Suite, especially Outlook, Teams, and Excel.
- Experience with electronic health record systems such as EPIC.
- Familiarity with medical billing and terminology.
- Comprehensive knowledge of healthcare regulations and compliance standards, including HIPAA and Medicaid/Medicare rules.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to work collaboratively in a team environment or individually as needed.
Nice To Haves
- FQHC experience is highly preferred.
- CPC certification is a plus.
Responsibilities
- Follow up consistently on unpaid claims using work queues and aging reports.
- Resolve claim denials by contacting insurance companies, submitting appeals, and informing the Billing Manager about denial trends.
- Correct and resubmit claim rejections in a timely manner.
- Collaborate with the billing team and Billing Manager to address coding issues and discrepancies.
- Provide customer service in verbal and written interactions with patients and insurance companies.
- Answer patient questions related to billing.
- Manage work queues assigned by the Billing Manager.
- Maintain knowledge of current billing rules and best practices.
- Follow HIPAA regulations and maintain patient confidentiality.
- Review charges, coding, payer-specific requirements, and demographic information as needed to ensure accurate and timely claim submission.
- Post payments and review account credits as needed.
- Perform other duties as assigned by the Manager of Outpatient Billing.
Benefits
- Yearly performance merit increases.
- Gain Share Program.
- Local and online discounts.
- 401(k) plan with 6% employer contributions.
- Employer-paid life and disability insurance.
- Medical, dental, and vision insurance.
- Employee Assistance Program.
- Wellness programs and decompression spaces.
- Paid time off starting at three weeks of vacation, four floating holidays, ten sick days, and eight federal holidays.
- NHSC loan repayment opportunities.
- PSLF eligibility.
- Career path ladders.
- Employer-paid learning and development programs.
- Employee-led committees.
- Appreciation, education, and team-building events.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
High school or GED
