Medical Billing & AR Specialist

Zepf; Monclova Township (OH); On-site; USD 38,000 - 60,000; Full time

Job summary

Zepf Center is seeking a full-time Medical Billing Specialist to manage billing and collections, process 837 EDI claims, handle denials, and ensure accurate posting in the billing system. You will work with patient data, insurance information, and payer portals to maximize payments and maintain clean A/R ledgers.

Responsibilities include posting payments, reconciling EOBs, submitting resubmissions, and communicating with payers. Strong Excel and billing software skills are required.

Qualifications

• Minimum of HS Diploma or equivalent and at least two years' experience in medical billing, posting, denial management, and collections in a medical office setting.
• Associated degree in medical billing preferred.
• Must have extensive knowledge of and experience with billing systems, insurance, BWC, Medicare, Medicaid, electronic claims, data entry, A/R, and computer experience.

Responsibilities

• Complete billing-related tasks to include review and updates of patient insurance information, COB order, and reallocations of balances as necessary to ensure billing to the correct coverage plan.
• Prepare 837 EDI claim files and upload or forward them electronically for payment.
• Retrieve 835 remittance files and upload them into the billing system.
• Post payments & adjustments (manually & electronically) to individual client ledgers.
• Review payment and adjustment amounts for accuracy while posting and note discrepancies.
• Ensure all postings and payments are tied exactly to A/R ledgers via detailed reconciliation of EOBs, deposits, and posting.
• Immediately work denials, rejections, under or overpayments during and after posting, and perform follow-up to ensure accurate and timely payment.
• Process all submissions and/or resubmissions of claims & corrections via the EHR, payer portal, or clearinghouse as appropriate. Monitor and perform follow-up.
• Prepare and send documents as required for payment, refunds, or plan updates.
• On an ongoing basis, monitor and perform research and resolution of all remaining accounts receivables that are unpaid, underpaid, or overpaid.
• Communicate any claims issues with contacts at assigned payers and involve management as appropriate.
• Review and verify client eligibility for insurance as needed. Update the billing system to reflect accurate dates and status.
• Respond to patient or other staff phone calls, investigate inquiries, and respond accordingly. Involve management as necessary.
• Serve as backup and support to other fiscal and A/R staff.
• Carry out policies and procedures of the agency; may participate in community work, staff development, and agency-wide projects; serve on agency committees/teams, attend meetings, and perform other miscellaneous duties as requested.

Skills

Medical Billing

Accounts Receivable

EDI/837

Data Entry

Education

HS Diploma or equivalent

Associate degree in medical billing

Tools

Excel

EHR system

Billing software

Job description

Zepf Center is seeking a full-time Medical Billing Specialist to manage billing and collections, process 837 EDI claims, handle denials, and ensure accurate posting in the billing system. You will work with patient data, insurance information, and payer portals to maximize payments and maintain clean A/R ledgers.

Responsibilities include posting payments, reconciling EOBs, submitting resubmissions, and communicating with payers. Strong Excel and billing software skills are required.