Medical Billing Specialist

Ultimate LLC; Durham (NC); Presencial; USD 34.000 - 41.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, vision, pharmacy

Descripción de la vacante

Ultimate Staffing Services is seeking a Medical Billing Specialist for a fully onsite role in Durham, North Carolina. You will handle resident and patient billing, insurance claims submission, and maintain precise billing records while collaborating with residents, families, insurance providers, and internal teams.

The ideal candidate has 3+ years of medical billing experience, strong customer service skills, and knowledge of Medicare parts A/B and PPO/HMO structures, with HIPAA compliance.

Formación

• 3+ years of medical billing and insurance claims processing experience.
• Strong understanding of Medicare Part A & B, supplemental plans, deductibles, co-insurance, and PPO/HMO structures.
• Proficiency with billing software, spreadsheets, and web-based applications.

Responsabilidades

• Process and manage resident and patient billing for healthcare services.
• Submit and follow up on medical insurance claims (Medicare, supplemental, private-pay).
• Investigate and resolve denied or rejected claims.
• Maintain accurate resident and patient account records and billing profiles.

Conocimientos

Medical billing

Insurance claims processing

HIPAA compliance

Customer service

Communication

Educación

High School Diploma or equivalent

Herramientas

Billing software

MatrixCare or similar

Descripción del empleo

Job Description

Position Overview

Ultimate Staffing Services is actively seeking a dedicated Medical Billing Specialist for a healthcare and long-term care environment in Durham, North Carolina. This fully onsite position involves managing medical and resident billing operations, processing insurance claims, and maintaining accurate billing records. The role requires a candidate with substantial medical billing experience, strong customer service skills, and the ability to collaborate effectively with residents, families, insurance providers, and internal departments.

Key Responsibilities

• Process and manage resident and patient billing for healthcare and related services.
• Submit and follow up on medical insurance claims, including Medicare, supplemental insurance, and private-pay accounts.
• Investigate, track, and resolve denied or rejected claims.
• Maintain accurate resident and patient account records and billing profiles.
• Perform accounts receivable functions, including payment posting and account reconciliation.
• Verify insurance coverage, benefits, deductibles, co-insurance, and eligibility information.
• Communicate with insurance carriers, residents, families, and internal departments regarding billing inquiries.
• Ensure compliance with HIPAA regulations and confidentiality standards.
• Assist with month-end billing activities and reporting as needed.
• Provide exceptional customer service when addressing billing questions and concerns.

Required Qualifications

• High School Diploma or equivalent required.
• Minimum of 3 years of experience in medical billing and insurance claims processing.
• Strong understanding of Medicare Part A and Part B, supplemental insurance plans, deductibles, co-insurance, and PPO, HMO, and other insurance structures.
• Experience with medical accounts receivable and billing reconciliation.
• Proficiency with billing software, spreadsheets, and web-based applications.
• Strong attention to detail and organizational skills.
• Excellent communication and customer service abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong mathematical and analytical skills.

Preferred Qualifications

• Medical Billing and/or Coding certification.
• Long-term care experience.
• Skilled nursing billing experience.
• Experience using MatrixCare or similar healthcare billing platforms.
• Experience working in senior living, healthcare, rehabilitation, or continuing care environments.

Desired Skills & Traits

• Outstanding customer service and interpersonal skills.
• Professional and personable communication style.
• Ability to build positive relationships with residents, families, and coworkers.
• Strong problem-solving and follow-through skills.
• High degree of accuracy and accountability.
• Ability to handle confidential information with discretion.
• Positive attitude and team-oriented mindset.

Schedule & Work Environment

• Monday through Friday
• 8:00 AM - 5:00 PM
• Fully onsite position
• Business casual work environment

Compensation

• $25.00 - $30.00 per hour, depending on experience
• Opportunity for permanent employment after successful contract period

Benefits

• Medical, dental, vision, pharmacy

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.

Job Reference: JN -112026-434922