Medical Billing Specialist

DaMar Staffing; Brentwood (TN); On-site; USD 45,000 - 60,000; Full time

Job summary

DaMar Staffing is seeking a Medical Billing Specialist in Brentwood, TN to manage accurate and timely submission of medical claims, verify insurance eligibility, post payments, and monitor denial issues to support cash flow.

You will work with claims across commercial payers, Medicare, and Medicaid, ensure HIPAA compliance, and maintain detailed billing records while providing great patient and provider service.

Qualifications

• Experience with medical billing and claims submission required.
• Familiarity with payer guidelines and HIPAA compliance.
• Strong attention to detail and accuracy in coding and billing.
• Excellent communication and problem-solving skills.

Responsibilities

• Submit medical claims to third-party payers and providers.
• Verify patient insurance eligibility and benefits.
• Post payments and reconcile billing records.
• Follow up on unpaid or denied claims and resubmissions.
• Research discrepancies and prepare appeals when needed.
• Maintain accurate billing documentation and aging reports.
• Respond to inquiries from patients, providers, and payers.
• Identify trends to improve cash flow and denial management.
• Ensure HIPAA and payer compliance in daily work.

Skills

Medical Billing

Claims Submission

Payment Posting

Insurance Verification

Denial Management

Accounts Receivable

Education

Associate degree in Healthcare Administration

Tools

EMR/EHR systems

Billing Software

Job description

Medical Billing Specialist

The Medical Billing Specialist is responsible for the accurate and timely submission, follow-up, and resolution of medical claims to ensure maximum reimbursement and efficient cash collections. This role serves as a key contributor to the organization's revenue cycle by managing billing processes, insurance claims, payment posting, denial resolution, and accounts receivable follow-up. The ideal candidate possesses strong knowledge of healthcare billing practices, payer guidelines, and revenue cycle operations.

Key Responsibilities

• Prepare, review, and submit medical claims to commercial insurance carriers, Medicare, Medicaid, and other third-party payers.
• Verify patient insurance eligibility, benefits, and authorization requirements.
• Ensure claims are coded and billed accurately according to payer guidelines and established procedures.
• Monitor claim status and follow up on unpaid, denied, or underpaid claims.
• Research and resolve billing discrepancies, claim rejections, and denial issues, including submitting appeals when appropriate.
• Post insurance and patient payments accurately and reconcile billing records.
• Manage patient account balances and assist with collection efforts when necessary.
• Respond to patient, provider, and insurance company inquiries regarding billing matters.
• Maintain detailed and accurate documentation of billing activity and collection efforts.
• Review aging reports and prioritize accounts receivable follow-up to improve cash flow.
• Support revenue cycle initiatives by identifying trends in denials, underpayments, and reimbursement delays.
• Ensure compliance with HIPAA, payer regulations, and healthcare billing standards.

Key Skills

• Medical BillingClaims Submission & Follow-UpPayment PostingInsurance VerificationDenial Management & AppealsAccounts Receivable Follow-UpCollectionsRevenue Cycle ManagementMedicare & Medicaid BillingHealthcare ReimbursementHIPAA ComplianceCustomer Service