Billing Specialist

American Medical Administrators MGMT Company; Maryland Heights (MO); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Disability Insurance

Vision Insurance

401(k)

Paid Time Off

Employee Assistance Program

Telemedicine

Job summary

AMA is seeking a billing professional to manage timely submission and follow-up of Medicare, Medicaid, and Managed Care claims. You will ensure compliance with contracts and federal regulations, verify patient data, and collaborate across facilities to resolve issues. Strong knowledge of healthcare billing, Excel, and AR is required.

Responsibilities include handling denials, maintaining documentation, and providing excellent patient account support to keep cash flowing and data accurate.

Qualifications

• Proficiency in Medicare and Medicaid billing regulations.
• Experience working with healthcare software.
• Strong understanding of Medicaid, Medicare, and Managed Care processes.
• Working knowledge of billing, collection activities, and cost accounting.
• Proficiency in Microsoft Office Suite, particularly Excel.
• Experience with account reconciliations and financial accuracy.
• Excellent organizational and problem-solving skills.
• Strong attention to detail and ability to work collaboratively across teams.

Responsibilities

• Responsible for the timely and accurate billing of all insurance claims, including Medicare, Medicaid, and Managed Care.
• Ensure compliance with all insurance contract requirements and federal billing regulations.
• Maintain accurate and complete documentation
• Collaborate with management personnel at each facility to ensure smooth billing operations and prompt resolution of issues.
• Submit clean claims promptly to prevent delays and denials.
• Perform timely follow-up on all submitted claims to ensure proper payment and account resolution.
• Review accounts receivable aging regularly to ensure due diligence in collections.
• Verify the accuracy of patient data and prepare billing according to applicable guidelines and regulations.
• Investigate delinquent accounts and recommend actions for outstanding balances.
• Contact third-party payers and organizations to facilitate timely payment of claims.
• Maintain organized documentation of all account activity, including patient inquiries, refunds, and payment adjustments.
• Process insurance or patient refunds, correct late charges, and monitor effective/exhaust dates for coverage.
• Provide excellent customer service in responding to patient account inquiries.

Skills

Medicare/Medicaid billing

Healthcare software

Excel

Accounts receivable

Billing regulations

Tools

Practice management software

Electronic Health Records

Job description

Leading the Way in Value-Based Healthcare

At AMA, our physician-led and owned coalition is reshaping healthcare to be patient-first, efficient, and universally accessible. We understand the administrative hurdles doctors face and are focused on innovating to reduce this overhead, allowing you to dedicate more time to patient care.

Job Responsibilities and Duties:

• Responsible for the timely and accurate billing of all insurance claims, including Medicare, Medicaid, and Managed Care.
• Ensure compliance with all insurance contract requirements and federal billing regulations.
• Maintain accurate and complete documentation
• Collaborate with management personnel at each facility to ensure smooth billing operations and prompt resolution of issues.
• Submit clean claims promptly to prevent delays and denials.
• Perform timely follow-up on all submitted claims to ensure proper payment and account resolution.
• Review accounts receivable aging regularly to ensure due diligence in collections.
• Verify the accuracy of patient data and prepare billing according to applicable guidelines and regulations.
• Investigate delinquent accounts and recommend actions for outstanding balances.
• Contact third-party payers and organizations to facilitate timely payment of claims.
• Maintain organized documentation of all account activity, including patient inquiries, refunds, and payment adjustments.
• Process insurance or patient refunds, correct late charges, and monitor effective/exhaust dates for coverage.
• Provide excellent customer service in responding to patient account inquiries.

Requirements:

• Proficiency in Medicare and Medicaid billing regulations.
• Experience working with healthcare software.
• Strong understanding of Medicaid, Medicare, and Managed Care processes.
• Working knowledge of billing, collection activities, and cost accounting.
• Proficiency in Microsoft Office Suite, particularly Excel.
• Experience with account reconciliations and financial accuracy.
• Excellent organizational and problem-solving skills.
• Strong attention to detail and ability to work collaboratively across teams.

Benefits:

• Health Insurance
• Dental Insurance
• Disability Insurance
• Vision Insurance
• Employee Assistance Program
• 401(k)
• Life Insurance
• Paid Time Off

Additional Benefits:

• Telemedicine: $0 co-pay for telemedicine appointments, providing easy access to medical consultations from the comfort of your home.
• Unlimited Assistance: Receive unlimited support for legal, financial, childcare, elder care, and more—designed to support your personal and family well-being.
• Mayo Clinic Programs: Access exclusive programs from the Mayo Clinic, including resources for workouts, lifestyle, mental health, and diet to promote a balanced and healthy lifestyle.

These additional benefits are available to you without reducing your take-home pay!

We only accept resumes and applications submitted directly through our Applicant Tracking System for posted positions. We do not accept unsolicited resumes from third-party agencies, recruiters, or staffing firms. Company employees and hiring managers are not authorized to enter into agreements or otherwise bind the company with respect to recruiting services. Any resumes submitted without a signed written agreement by the Executive Vice President of Recruitment will be considered unsolicited, and no fees will be owed.