Medical Billing Specialist

Hulsing Hotels/ Earth Fare / AccucareAsheville, NC
$17 - $20Onsite

About The Position

The Billing Specialist is responsible for providing exceptional customer service to patients and medical facilities. This role involves managing daily patient flow, completing tasks within the work shift, and handling patient accounts receivable. Key duties include collecting patient balances, sending collection letters, and managing accounts sent to collections. The specialist will also file electronic and paper claims, verify and apply patient credits, post insurance and patient payments, and respond to inquiries via messages, emails, and phone calls. Additionally, the role requires staying updated on insurance company changes, working insurance AR, investigating recoupments, and performing other related duties as assigned by the manager.

Requirements

  • High School diploma
  • Previous work experience in a medical office as a biller or insurance specialist
  • EMR/EHR Experience
  • Medical terminology knowledge
  • Comfortable using a computer for various tasks
  • Knowledge in insurance concepts such as deductible, OOP, copays, etc.
  • Knowledge of different types of insurance, fee schedules, and filing
  • Demonstrate ability to build and maintain solid working relationships with medical facilities
  • Exhibits effective oral and written communication with staff, manager, patients, and referral source
  • Must be highly self-motivated, flexible and service-oriented
  • Builds relationships with patients, and referral sources
  • Strong organization and time management skills

Responsibilities

  • Provide exceptional customer service to patients and medical facilities.
  • Keep daily patient flow timely and complete tasks within the work shift.
  • Work patient AR, including calling and collecting balances, sending collection letters, and managing accounts sent to collections.
  • Notify Prince Parker of any paid collection payments made directly to the office.
  • File all electronic and paper claims, including office visits and sleep studies, ensuring correct prices, codes, modifiers, place of service, provider, etc.
  • Verify credit on patient accounts, apply to previous or future balances, or request refunds.
  • Post all insurance payments and patient payments (electronic/CC or manual).
  • Respond to and work all messages and emails.
  • Check fax queue for billing-related faxes and complete as needed.
  • Answer and respond to all calls from staff, patients, and insurance regarding billing, claims, balances, or similar issues.
  • Update and verify all electronic payments on a spreadsheet have been received and posted.
  • Follow up on any new changes from insurance companies, including policies and claims address.
  • Work all insurance AR, including calling for claim responses or denials, and complete claim appeals.
  • Work and investigate any recoupments from insurance to validate if payment is due to the insurance company.
  • Schedule patients as needed.
  • Perform other related duties as assigned by the manager.
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