Medical Biller

We are seeking a detail-oriented Medical Billing Specialist to support the full revenue cycle process within a growing healthcare organization. This role focuses heavily on Medicaid and third-party billing, ensuring claims are processed accurately, payments are collected timely, and all work remains compliant with healthcare regulations.

This position is ideal for someone who enjoys working in a high-volume environment, problem-solving billing issues, and collaborating with internal teams and insurance carriers.

Key Responsibilities:

• Manage the full revenue cycle including billing, payment posting, and reconciliations
• Submit and track Medicaid and third-party insurance claims
• Investigate and resolve denied or rejected claims
• Review documentation to ensure accuracy and compliance prior to submission
• Monitor accounts receivable aging and follow up on outstanding balances
• Reconcile billing activity to the general ledger
• Track billing trends, denial rates, and other key performance metrics
• Ensure services align with authorizations and payer requirements
• Assist with audits, reporting, and revenue forecasting support

Qualifications:

• 3 to 5+ years of medical billing experience, Medicaid experience strongly preferred
• Experience with third-party insurance billing
• Strong Excel skills and ability to manage data
• Excellent communication skills working with payers and internal teams
• High attention to detail and ability to manage high-volume workloads

Preferred Experience:

• Experience with NetSuite or similar ERP systems
• Background in nonprofit or Medicaid-funded environments
• Familiarity with EHR systems and healthcare compliance standards

Why This Role:

• Stable, full-time opportunity with long-term growth
• Collaborative, team-oriented environment
• Opportunity to make a direct impact on financial operations
• Competitive compensation and benefits