Billing Specialist

America's ER Medical Centers; Silver Spring (MD); On-site; USD 45,000 - 65,000; Full time

Job summary

America's ER Medical Centers in Silver Spring, MD seeks a Billing Specialist to manage accurate and timely submission of medical claims, verify patient information, and support revenue cycle operations.

You will electronically submit claims (CMS-1500/UB-04), monitor status, address denials, prepare appeals, generate patient statements, and respond to billing inquiries while ensuring HIPAA compliance.

Responsibilities

• Prepare, review, and submit clean claims to insurance payers (CMS-1500 and/or UB-04)
• Verify patient insurance eligibility and coverage
• Ensure accuracy of patient demographics, charges, and modifiers
• Submit claims electronically and track claim status
• Research claim denials and rejections
• Correct errors and resubmit claims in a timely manner
• Prepare and submit appeals with supporting documentation
• Generate and review patient statements
• Respond to patient billing inquiries professionally and clearly
• Maintain compliance with HIPAA Privacy and Security Rules

Job description

Job Description

Job Description

Job Summary

The Billing Specialist is responsible for accurate and timely submission of medical claims, and follow-up with payers and patients. This role ensures compliance with HIPAA and payer regulations while supporting efficient revenue cycle operations.

Key Responsibilities

• Prepare, review, and submit clean claims to insurance payers (CMS-1500 and/or UB-04)
• Verify patient insurance eligibility and coverage
• Ensure accuracy of patient demographics, charges, and modifiers
• Submit claims electronically and track claim status
• Research claim denials and rejections
• Correct errors and resubmit claims in a timely manner
• Prepare and submit appeals with supporting documentation
• Generate and review patient statements
• Respond to patient billing inquiries professionally and clearly
• Maintain compliance with

HIPAA Privacy and Security Rules

• Protect the confidentiality of all patient information
• Out of network billing preferred but not required
• Knowledge of Federal and State guidelines regarding NSA and TDI claims