Medical Billing Specialist

Baton Rouge Clinic; Baton Rouge (LA); On-site; USD 42,000 - 65,000; Full time

Job summary

Baton Rouge Clinic, AMC is seeking a detail-oriented Billing Specialist to join our team. The role focuses on processing medical billing for Medicare, Commercial and Medicaid, performing appeals when needed, and ensuring compliance with healthcare billing standards.

The ideal candidate has experience with insurance claims and strong attention to detail. Responsibilities include reviewing records, coordinating with providers, and communicating with patients to resolve billing questions.

Qualifications

• 2 years of medical claims experience (preferred).
• Experience in medical billing, preferably in a clinical setting.

Responsibilities

• Process and manage medical billing for Medicare, Commercial and Medicaid.
• Resolve outstanding insurance claims through research and appeals.
• Review medical records and payer policies to ensure billing accuracy.
• Follow up on insurance medical collections and outstanding accounts.
• Maintain compliance with healthcare billing regulations.
• Collaborate with providers to resolve billing discrepancies.
• Communicate effectively with patients and staff.

Skills

Medical billing skills

Insurance claim research

Payer policy knowledge

Attention to detail

Job description

Description

The Baton Rouge Clinic, AMC is seeking a detail-oriented Billing Specialist to join our team. This role is essential in managing medical billing claims and ensuring accurate insurance collections, contributing directly to our mission of delivering high-quality healthcare services.

Essential Duties and Responsibilities:

• Process and manage medical billing for various payers (Medicare, Commercial and Medicaid).
• Resolving outstanding medical insurance claims by ways of 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.
• Ability to think independently, be self-motivated and perform duties in a precise and efficient manner.
• 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.

No Remote Work

Requirements

Experience:

• 2 years of medical claims experience (preferred)
• Proven experience in medical billing, preferably in a clinical setting.

Physical Requirements:

• Ability to stand, walk, bend, and reach throughout the workday.
• Ability to lift up to 50 pounds, with or without reasonable accommodation.
• Ability to perform patient care activities and operate standard medical equipment.
• Ability to use computers and standard office equipment.