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Medical Billing Specialist

Prophylaxis HealthCare

Process medical billing tasks for a healthcare office, including insurance eligibility verification, claims submission, payment posting, denials follow-up, and patient billing support.

  • Verify patient insurance eligibility, benefits, referrals, and pre-authorizations.
  • Review and submit electronic and paper claims accurately and on time.
  • Follow up on unpaid, denied, or rejected claims and file appeals when needed.
  • Post and reconcile insurance payments and resolve discrepancies with payers.
  • Bill secondary and tertiary carriers when applicable.
  • Respond to patient and insurance inquiries about claims, balances, and payments.
  • Set up payment plans and assist with collections.
  • Maintain accurate billing records, reports, and software updates.
  • Ensure compliance with HIPAA and patient confidentiality requirements.
Requirements & Qualifications
  • High school diploma required; associate degree in Business, Accounting, Healthcare Administration, or related field preferred.
  • 1–3 years of medical billing experience in a healthcare or medical office setting.
  • Knowledge of Medicare, Medicaid, HMO/PPO plans, and insurance billing processes.
  • Familiarity with CPT and ICD-10 coding.
  • Strong computer, communication, customer service, and problem-solving skills.
  • Ability to multitask, prioritize workload, and work effectively in a team environment.
  • ICD-10 experience preferred.
  • Insurance verification experience preferred.
Benefits & Perks
  • Dental insurance
  • Health insurance
  • Paid time off

Location

Oklahoma, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 week ago

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