Healthcare Billing Specialist - Patient-First Claims

Reliant Care Management Company; St. Louis (MO); Hybrid; USD 48,000 - 72,000; 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 (0 co-pay)

Job summary

AMA is seeking a Billing Specialist to manage timely and accurate insurance claim billing, including Medicare, Medicaid, and Managed Care. You will ensure compliance with contract requirements and regulations, maintain documentation, and collaborate across facilities to resolve issues.

The role requires proficiency in Medicare/Medicaid billing, healthcare software, and strong attention to detail. Candidates should be organized, customer-oriented, and able to handle full-cycle billing tasks.

Qualifications

• Experience with Medicare/Medicaid billing regulations.
• Familiarity with healthcare software systems.
• Understanding of Medicaid, Medicare, and Managed Care processes.
• Knowledge of billing, collections, and cost accounting.
• Proficient in Excel and Microsoft Office.
• Experience with account reconciliations and financial accuracy.
• Excellent organizational and problem-solving skills.
• Strong attention to detail and teamwork.

Responsibilities

• 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.

Skills

Medicare/Medicaid billing rules

Healthcare software experience

Managed care processes

Billing & collections

Excel proficiency

Accounts reconciliations

Organizational skills

Attention to detail

Job description

AMA is seeking a Billing Specialist to manage timely and accurate insurance claim billing, including Medicare, Medicaid, and Managed Care. You will ensure compliance with contract requirements and regulations, maintain documentation, and collaborate across facilities to resolve issues.

The role requires proficiency in Medicare/Medicaid billing, healthcare software, and strong attention to detail. Candidates should be organized, customer-oriented, and able to handle full-cycle billing tasks.