Medical Billing Specialist (Accounts Receivable Focus) en MDB Health Services careers

Job Summary

We are seeking a detail-oriented Medical Billing Specialist with a focus on Accounts Receivable to support our in-house revenue cycle operations. This role involves overseeing the full AR process for multiple Rural Health Clinics, including timely and accurate billing of Part A and Part B services. You'll be joining a collaborative, supportive team at our company headquarters.

Primary Responsibilities

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).

Qualifications

Required Experience:

• Minimum 2 years of medical billing experience
• Strong working knowledge of the full AR lifecycle within a healthcare setting

Education/Certification:

• High school diploma or GED (required)
• Preferred certifications: CCS, CCSP, CPC, CPC-P, RHIA, COC
• Preferred: Associate degree or higher in Health Information Management, Healthcare Administration, or related field

Skills and Competencies:

• 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