Physician Billing Specialist

Legacy Health Services • Parma, OH

22h

About The Position

We’re seeking a detail-oriented Billing Specialist with experience in physician billing to support our revenue cycle operations. In this role, you’ll ensure accurate, compliant claim submission and timely reimbursement while serving as a key resource for resolving billing issues. If you’re fluent in coding workflows, payer rules, and enjoy keeping accounts clean and moving, we’d like to connect.

Requirements

• 2+ years in physician billing, medical billing, or healthcare revenue cycle
• Working knowledge of CPT, ICD-10, and HCPCS coding systems
• Familiarity with Medicare, Medicaid, and commercial insurance billing rules and workflows.
• Proficiency in Excel and experience with EHR/PM systems (e.g., Epic, Athenahealth, or similar billing platforms).
• High level of accuracy in coding, charge entry, and claim review.
• Ability to clearly explain billing issues to patients, providers, and payers.
• Strong time management skills with the ability to prioritize high-volume workloads and meet deadlines.

Nice To Haves

• Experience with hospice billing is a plus!
• Certification like CPC is a plus.

Responsibilities

• Review and process provider charges, ensuring accurate coding alignment (CPT, ICD-10, HCPCS) before claim submission.
• Prepare and submit clean claims to commercial payers, Medicare, and Medicaid, ensuring compliance with payer-specific guidelines.
• Monitor claim status, post payments and adjustments, and aggressively follow up on unpaid or denied claims.
• Investigate denials, identify root causes, and submit timely corrections or appeals to maximize reimbursement.
• Generate patient statements and respond to billing inquiries with clarity and professionalism.
• Maintain accurate billing records while adhering to healthcare regulations and payer requirements.
• Track AR aging, denial trends, and reimbursement metrics; provide insights to improve revenue cycle performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed