Billing Specialist

Capitol Imaging Services, LLC; Metairie (LA); On-site; USD 42,000 - 68,000; Full time

Job summary

Capitol Imaging Services, LLC is seeking an organized Direct Billing Specialist to oversee direct-invoice and clinical trial accounts. You will generate, verify, and distribute bills, keep clear records, and serve as the primary contact for billing discrepancies.

The role aims to eliminate invoicing errors, submit timely claims, and ensure cash inflow remains compliant and efficient. The ideal candidate has 2–3 years of medical billing experience, CPT/ICD-10 proficiency, and strong data

Qualifications

• High school diploma or equivalent required; an Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, or related field is preferred.
• Minimum 2–3 years of direct billing experience in a medical office environment with claims processing or accounts receivable.
• CPC coder certification preferred.
• Knowledge of CPT and ICD-10 coding; imaging/radiology billing knowledge is important.
• Familiarity with HIPAA and payer guidelines; strong data security practices.

Responsibilities

• Invoicing: generate, review, and issue direct bills and clinical trial invoices.
• Account verification: audit patient accounts, contracts, and policies for correct pricing and codes.
• Payment processing: post and reconcile payments from various channels.
• Discrepancy resolution: investigate denied claims and coordinate with payers.
• AR monitoring: identify delinquent balances and initiate structured outreach.
• System maintenance: update client data in billing databases and RIS.

Skills

Numerical skills

Analytical thinking

Communication

Software proficiency

HIPAA compliance

Medical terminology

Education

High school diploma

Associate degree

Bachelor’s degree

Tools

Medisoft

EHR systems

Billing systems

Job description

Job Title: Direct Billing SpecialistJob SummaryWe are seeking an organized and precise Direct Billing Specialist to oversee our direct-invoice and clinical trial accounts. In this role, you will be responsible for creating, verifying, and distributing direct bills, keeping clear transactional records, and serving as the primary point of contact for billing and payment discrepancies. Your main objective will be to eliminate invoicing errors, submit timely claims and invoices, resolve payment delays, and ensure that our organization maintains an efficient and compliant cash inflow.Essential Duties and ResponsibilitiesInvoice Generation: Prepare, review, and issue comprehensive claims and invoices to direct bill and clinical trial payers.Account Verification: Audit patient accounts, contracts, or insurance policies to verify billing criteria, codes, and correct pricing metrics before sending out claims and invoices.Payment Processing: Receive, post, and reconcile electronic bank drafts, wire transfers, and credit card payments to the appropriate patient accounts.Discrepancy Resolution: Promptly investigate denied claims, underpayments, or billing disputes by collaborating with internal operational teams and payers.Accounts Receivable Monitoring: Identify delinquent balances and initiate professional, courteous outreach (via phone, email, or mail) to establish structured payment timelines.System Maintenance: Maintain data integrity by routinely updating client contact information within the billing database and RIS system.Key Skills and QualificationsNumerical & Analytical Skills: High aptitude for basic math and identifying patterns or errors within billing records.Communication & Negotiation: Exceptional written and verbal communication skills needed to handle sensitive financial issues with empathy, authority, and professionalism.Software Proficiency: High proficiency with Microsoft Office products (specifically Excel and functions such as basic formulas, data filtering, VLOOKUPs, pivot tables) and experience navigating Electronic Health Record (EHR) or billing systems.Industry Compliance: Familiarity with data security rules, regulatory frameworks, and specialized protocols (such as HIPAA).Medical Knowledge: Working knowledge of medical terminology, CPT’s, and ICD-10 coding.Education and Experience RequirementsEducation: High school diploma or equivalent is required; an Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, or related field is preferred.Experience: Minimum of 2 to 3 years of direct experience working in a medical office environment handling billing, claims processing, or accounts receivable.Requirements:Minimum of 5 years’ experience as a medical biller and collector in Imaging/Radiology practice.High School Diploma or equivalent.Minimum of 4 years’ experience as a medical biller/collector.CPC Coder Certification preferred.Medisoft billing software is a plus.Professional references required.Knowledge/Skills:Working knowledge of Imaging/Radiology billing practice, CPT codes, and ICD10s.Strong knowledge of payer guidelines and reimbursement policies.Effective interpersonal and communication skills.Ability to work independently and collaboratively within a team environment.Ability to organize, multi-task, and meet deadlines.Excellent problem-solving skills.High production goals.Experience:Medical Billing Imaging/Radiology Specialist: 5 years.ICD-10 and CPT Coding: 4 years (Required)Medical Billing Imaging: 5 years (Required)Education:High School or equivalent (Required)