Billing Specialist - Work Well - Hattiesburg

Merit Health Wesley; Hattiesburg (MS); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Paid time off

401(k) with company match

Career development

Licensure reimbursement

Student loan assistance

Rewards program

Job summary

Merit Health Wesley in Hattiesburg, MS is seeking a Billing Specialist II to manage complex billing functions, coordinate with insurers, and maximize collections.

The role requires 2–4 years in medical billing, knowledge of payer guidelines, and proficiency with EHRs such as Athena, Cerner, or Ingenious Med. On-site position with competitive benefits and opportunity for professional growth.

Qualifications

• Advanced knowledge of medical billing processes and payer policies.
• Proficiency with electronic health records and practice management systems.
• Ability to analyze complex billing issues and communicate clearly.

Responsibilities

• Primary contact for insurance companies, payers, and patients on billing inquiries and claim resolution.
• Reviews and processes insurance claims ensuring timely submission and payer guideline compliance.
• Identifies and resolves credit balances; reclassifies revenue and processes adjustments.
• Reviews and corrects claim filing edits in EHR/PM systems (Athena, Cerner, Ingenious Med).
• Researches and resolves claim denials and rejections; identifies trends and corrective actions.
• Monitors vendor/payer audit trails; submits secondary claims as needed.
• Keeps knowledge up-to-date with federal, state, and payer billing guidelines.
• Trains staff on billing updates and maintains a reference materials repository.
• Ensures proper billing and collection procedures with management and coding teams.
• Maintains HIPAA confidentiality and company policies.

Skills

Medical billing

Collections

HIPAA compliance

EHR systems

Communication

Tools

Athena

Cerner

Ingenious Med

Job description

Why Join Us?

• Be Valued for What You Bring to the Team – Competitive pay that rewards your hard work
• Benefits You Can Count On – Medical, dental, vision, and life insurance coverage
• Work Hard. Recharge Often. – Generous PTO and extended illness benefits
• Invest in Your Future – 401(k) with company match
• Grow With Us – Career development, learning opportunities, and advancement pathways
• We Invest in Your Success – Licensure and certification reimbursement
• Student Loan Support – Assistance available for eligible roles
• Your Wins Deserve Recognition – Employee rewards and recognition programs
• A Team You'll Love Working With – A collaborative, purpose‑driven culture making a difference every day
• Additional Voluntary Benefits – Choose from options such as pet insurance, identity protection, and legal insurance.

Great people. Great benefits. Meaningful work. Join us and make an impact!

No weekends, No holidays, No Call. This position is onsite!

Job Summary
The Billing Specialist II is responsible for managing complex billing functions, ensuring timely and accurate claims processing, and resolving issues related to insurance payments and account balances. This position serves as the primary contact for insurance companies and other payers, performing in-depth research to facilitate claim resolution and maximize collections. The Billing Specialist II also supports team training, assists with audits, and ensures compliance with payer regulations and company policies.

Essential Functions

• Serves as the primary point of contact for insurance companies, payers, and patients regarding billing inquiries and claim resolution.
• Reviews and processes insurance claims, ensuring timely submission and compliance with payer guidelines.
• Identifies and resolves credit balances, reclassifies revenue, and processes adjustments according to transaction coding policies.
• Reviews and corrects claim filing edits in electronic health record (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med).
• Researches and resolves claim denials and rejections, working proactively to identify trends and implement corrective actions.
• Monitors and works vendor/payer audit trails, submitting secondary claims and addressing discrepancies as needed.
• Maintains up-to-date knowledge of federal, state, and payer billing guidelines, utilizing payer websites for claims follow‑up.
• Assists in training staff and providers on billing updates, maintaining a centralized electronic repository for reference materials.
• Ensures proper billing and collection procedures in collaboration with management, clinic staff, and coding teams.
• Maintains confidentiality and ensures compliance with HIPAA regulations and company policies.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 2-4 years of experience in medical billing, insurance claims processing, or revenue cycle management required
• 1-3 years in collections, knowledge of third party billing, and insurance reimbursement required
• 0-1 years of experience with Medicare preferred

Knowledge, Skills and Abilities

• Advanced knowledge of medical billing processes, insurance claim procedures, and payer policies.
• Strong understanding of revenue cycle management, including insurance reimbursement and claim adjudication.
• Proficiency in electronic health records (EHR) and practice management systems.
• Ability to analyze and resolve complex billing issues, including denials and payment discrepancies.
• Strong communication and problem‑solving skills to interact with patients, providers, and payers.
• Ability to train and mentor team members on billing best practices.
• Detail‑oriented with the ability to meet deadlines and manage multiple priorities.
• Working knowledge of HIPAA regulations and data confidentiality requirements.

Licenses and Certifications

• CPB- Certified Medical Biller issued by AAPC preferred or
• Certified Medical Insurance Specialist (CMIS) issued by PMI preferred

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.