Medical Billing Specialist

Signature Performance, Inc.•,

About The Position

The Medical Billing Specialist reviews and processes claims for services rendered to ensure accurate billing to insurance payers and patients. The role verifies billing information, including CPT procedure codes, ICD-10 diagnosis codes, modifiers, and patient demographics; submits primary and secondary claims electronically or on paper; and corrects and resubmits rejected or erroneous claims promptly. The specialist monitors unpaid or delayed claims and follows up or rebills as needed. The role collaborates with coding, registration, and clinical teams to resolve billing issues and obtain missing information; generates claims and statements as dictated by scope; and responds to billing inquiries professionally and promptly. The specialist stays current with billing regulations, payer requirements, and compliance guidelines such as HIPAA, and meets department productivity, accuracy, and quality benchmarks. The position requires U.S. citizenship or naturalized citizenship. All work must be completed within the continental United States, Alaska, or Hawaii. Candidates must participate in camera-enabled interviews, which may be recorded for evaluation, training, quality assurance, and hiring purposes.

Requirements

High school diploma or equivalent required.
Minimum of 1–2 years of experience in medical billing or revenue cycle operations.
Knowledge of healthcare billing practices, insurance processes, and medical terminology.
Proficiency with billing software and electronic health record (EHR) systems.
Understanding of CPT, ICD-10, and HCPCS coding and claim submission standards.
Strong communication, organizational, and problem-solving skills.
Ability to work independently and handle sensitive information confidentially.
U.S. citizenship or naturalized citizenship is required.
All work must be completed in the continental United States, Alaska, or Hawaii.
Candidates must participate in interviews with their camera enabled; interviews may be recorded, and candidates must consent to recording during the application process.

Nice To Haves

Associate's degree in a related field.
Certification in medical billing and coding, such as CPB, CPC, or equivalent.
Experience billing for hospital, physician, or multi-specialty group practices.
Familiarity with Medicare, Medicaid, and commercial insurance guidelines.
Experience with Epic, Meditech, or NextGen EHR systems.

Responsibilities

Review and process claims for services rendered to ensure accurate billing to insurance payers and patients.
Verify billing information, including CPT procedure codes, ICD-10 diagnosis codes, modifiers, and patient demographics.
Submit primary and secondary claims electronically or via paper as required.
Correct and resubmit claim rejections and errors in a timely manner.
Monitor unpaid or delayed claims and initiate follow-up or rebilling 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.
Stay current with billing regulations, payer requirements, and compliance guidelines, including HIPAA.
Meet department productivity, accuracy, and quality benchmarks.