Billing Specialist

American Medical Administrators MGMT Company; Maryland Heights (MO); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Disability Insurance

Vision Insurance

Employee Assistance Program

401(k)

Life Insurance

Paid Time Off

Telemedicine

Unlimited Assistance

Mayo Clinic Programs

Job summary

American Medical Administrators MGMT Company seeks a Billing Specialist to manage timely insurance claims across Medicare, Medicaid, and Managed Care, while ensuring compliance and accurate patient data.

You will collaborate with facility management, perform follow-ups, and monitor accounts receivable, delivering excellent customer service to patients.

Proficiency with healthcare software and Excel is required, along with strong organizational skills and attention to detail.

Qualifications

• Proficiency in Medicare and Medicaid billing regulations.

Responsibilities

• Bill insurance claims timely and accurately (Medicare/Medicaid/Managed Care).
• Ensure compliance with contract requirements and federal regulations.
• Maintain accurate and complete documentation.
• Collaborate with facility management to ensure smooth billing operations.
• Submit clean claims promptly.
• Perform timely follow-up on submitted claims.
• Review accounts receivable aging.
• Verify accuracy of patient data and prepare billing.
• Investigate delinquent accounts and recommend actions.
• Contact third‑party payers to facilitate payment.
• Maintain documentation of all account activity.
• Process refunds, correct late charges, monitor coverage dates.
• Provide excellent customer service responding to inquiries.

Skills

Medicare regs

Medicaid regs

Healthcare software

Managed Care

Billing & collections

Excel

Reconciliations

Attention to detail

Team collaboration

Tools

Excel

Healthcare software

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!