Healthcare Billing Specialist II - Claims & Reimbursements

The-Baton-Rouge-Clinic,-Amc-2; Monroe (LA); On-site; USD 42,000 - 62,000; Full time

Job summary

The Baton Rouge Clinic, AMC is seeking a detail-oriented Billing Specialist to join our team in Monroe, LA. This role focuses on managing medical billing claims, ensuring accurate insurance collections, and supporting high-quality patient care.

Responsibilities include processing claims for Medicare, commercial, and Medicaid; handling denials through appeals; and maintaining compliance with healthcare regulations. Two years of medical claims experience is required.

Qualifications

• 2 years medical claims experience
• Proven experience in medical billing, preferably in a clinical setting
• Strong knowledge of medical terminology and healthcare regulations
• Familiarity with DRG systems and medical collection processes is a plus
• Excellent attention to detail and organizational skills
• Ability to communicate effectively with patients and healthcare staff

Responsibilities

• Process and manage medical billing for various payers (Medicare, Commercial and Medicaid).
• Resolving outstanding medical insurance claims by research and appeals.
• Ensure accuracy in billing by reviewing medical records, documentation and payer policies.
• Handle insurance medical collections and follow up on outstanding accounts.
• Maintain compliance with healthcare regulations and standards in billing practices.
• Collaborate with healthcare providers to resolve billing discrepancies or issues.

Job description

The Baton Rouge Clinic, AMC is seeking a detail-oriented Billing Specialist to join our team in Monroe, LA. This role focuses on managing medical billing claims, ensuring accurate insurance collections, and supporting high-quality patient care.

Responsibilities include processing claims for Medicare, commercial, and Medicaid; handling denials through appeals; and maintaining compliance with healthcare regulations. Two years of medical claims experience is required.