Medical Billing Specialist

Ideal Staffing Inc.; Little Rock (AR); On-site; USD 42,000 - 64,000; Full time

Job summary

Little Rock Specialty Clinic is seeking a Medical Billing Specialist to join their team in Little Rock, Arkansas. The role involves reviewing patient accounts, submitting claims to Medicare/Medicaid and commercial insurers, and ensuring accurate coding (ICD-10, CPT, HCPCS) and HIPAA compliance.

Ideal candidates have a high school diploma and experience in medical billing/coding, strong communication skills, and the ability to meet tight deadlines while maintaining patient confidentiality.

Qualifications

• High school diploma or equivalent required.
• Medical billing and coding experience preferred.
• Knowledge of medical terminology and healthcare reimbursement processes.
• Familiarity with ICD-10, CPT, and HCPCS coding.
• Experience with Medicare, Medicaid, and commercial insurance billing.
• Knowledge of HIPAA regulations and CMS billing guidelines.
• Strong computer, communication, and organizational skills.
• Ability to multitask and meet billing deadlines.
• Attention to detail and problem-solving skills.

Responsibilities

• Review patient accounts, insurance information, and medical documentation for accuracy.
• Prepare, review, and submit medical claims to commercial insurance companies, Medicare, and Medicaid.
• Verify insurance eligibility and benefits.
• Review CPT, ICD-10, and HCPCS codes for accuracy and completeness.
• Follow up on unpaid, denied, and rejected insurance claims.
• Research and resolve billing discrepancies and claim denials.
• Post insurance payments, adjustments, and patient payments.
• Process appeals and corrected claims when necessary.
• Communicate with insurance representatives regarding claim status and reimbursement.
• Maintain accurate billing records and documentation.
• Assist with accounts receivable follow-up and aging reports.
• Ensure compliance with HIPAA, CMS guidelines, and payer-specific billing requirements.
• Provide professional customer service when addressing patient billing questions.
• Identify trends in claim denials and recommend process improvements.

Job description

Medical Billing Specialist

• Little Rock, Arkansas
• Healthcare

Little Rock Specialty Clinic looking for an additional Medical Billing Specialist to join their team.

Essential Duties and Responsibilities

• Review patient accounts, insurance information, and medical documentation for accuracy.
• Prepare, review, and submit medical claims to commercial insurance companies, Medicare, and Medicaid.
• Verify insurance eligibility and benefits.
• Review CPT, ICD-10, and HCPCS codes for accuracy and completeness.
• Follow up on unpaid, denied, and rejected insurance claims.
• Research and resolve billing discrepancies and claim denials.
• Post insurance payments, adjustments, and patient payments.
• Process appeals and corrected claims when necessary.
• Communicate with insurance representatives regarding claim status and reimbursement.
• Maintain accurate billing records and documentation.
• Assist with accounts receivable follow-up and aging reports.
• Ensure compliance with HIPAA, CMS guidelines, and payer-specific billing requirements.
• Provide professional customer service when addressing patient billing questions.
• Identify trends in claim denials and recommend process improvements.

Qualifications and Requirements

• High school diploma or equivalent required.
• Medical billing and coding experience preferred.
• Knowledge of medical terminology and healthcare reimbursement processes.
• Familiarity with ICD-10, CPT, and HCPCS coding.
• Experience with Medicare, Medicaid, and commercial insurance billing.
• Knowledge of HIPAA regulations and CMS billing guidelines.
• Strong computer, communication, and organizational skills.
• Ability to multitask and meet billing deadlines.
• Attention to detail and problem-solving skills.

Preferred Skills

• Experience with electronic health records (EHR) and practice management systems.
• Knowledge of claims processing and revenue cycle management.
• Experience with insurance denials and appeals.
• Understanding of CMS documentation and billing requirements.

Performance Expectations

• Maintain accurate and timely claim submissions.
• Reduce claim denials and billing errors.
• Maintain appropriate accounts receivable follow-up.
• Ensure timely resolution of outstanding claims.
• Maintain confidentiality and compliance with all regulatory requirements.