Medical Billing Specialist

Ledgent; Bel Air (MD); On-site; USD 52,000 - 70,000; Full time

Job summary

Ledgent is seeking a detail-oriented Medical Billing Specialist to join our healthcare team. This role manages the full billing cycle, submits claims to insurance carriers, and ensures timely reimbursement while resolving billing discrepancies.

The ideal candidate has knowledge of ICD-10, CPT, HCPCS, and denial management, with proficiency in EMR/EHR and billing software. A High School Diploma is required; CPB is preferred.

Qualifications

• 2+ years of medical billing experience.
• Knowledge of ICD-10, CPT, and HCPCS coding.
• Experience with EOBs, claim appeals, and denial management.
• Proficiency with EMR/EHR and billing software.
• Strong attention to detail and organizational skills.
• Excellent communication and customer service abilities.
• High School Diploma required; CPB preferred.

Responsibilities

• Process and submit medical claims to insurance carriers accurately and timely
• Review patient accounts for billing accuracy and completeness
• Follow up on denied, rejected, and unpaid claims
• Investigate and resolve billing discrepancies and payment issues
• Post insurance and patient payments
• Verify insurance benefits and eligibility as needed
• Work closely with providers, patients, and insurance companies to resolve account issues
• Maintain compliance with HIPAA and healthcare billing regulations
• Assist with accounts receivable collections and aging reports
• Document billing activities and account updates within practice management systems

Skills

Medical billing experience

Attention to detail

Organizational skills

Excellent communication

Customer service

HIPAA compliance knowledge

Education

High School Diploma

Certified Professional Biller (CPB)

Tools

EMR/EHR software

Billing software

Job description

About the Role

We are seeking a detail-oriented Medical Billing Specialist to join our growing healthcare team. This position is responsible for managing the full billing cycle, ensuring accurate claim submission, timely reimbursement, and resolution of billing discrepancies. The ideal candidate will have strong knowledge of medical billing processes, insurance regulations, and revenue cycle management.

Responsibilities

• Process and submit medical claims to insurance carriers accurately and timely
• Review patient accounts for billing accuracy and completeness
• Follow up on denied, rejected, and unpaid claims
• Investigate and resolve billing discrepancies and payment issues
• Post insurance and patient payments
• Verify insurance benefits and eligibility as needed
• Work closely with providers, patients, and insurance companies to resolve account issues
• Maintain compliance with HIPAA and healthcare billing regulations
• Assist with accounts receivable collections and aging reports
• Document billing activities and account updates within practice management systems

Qualifications

• 2+ years of medical billing experience
• Knowledge of ICD-10, CPT, and HCPCS coding
• Experience with EOBs, claim appeals, and denial management
• Proficiency with EMR/EHR and billing software
• Strong attention to detail and organizational skills
• Excellent communication and customer service abilities
• High School Diploma required; Certified Professional Biller (CPB) preferred

Preferred Experience

• Physician practice, hospital, outpatient, or specialty healthcare billing
• Government and commercial insurance billing
• Revenue cycle management and accounts receivable follow-up

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.