Medical Billing Specialist

Premium Services 247; Pottsville (Schuylkill County); Presencial; USD 40.000 - 60.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Paid vacation and holidays

401(k) retirement plan

Descripción de la vacante

Concept Billing Solutions is seeking a detail-oriented Medical Billing Specialist to support accurate, timely pharmacy and healthcare billing at our Pottsville, PA site. You will help manage claims, research discrepancies, and coordinate with insurance providers and internal teams to resolve billing issues. Strong attention to detail and teamwork are essential, with benefits including medical insurance, paid vacation and holidays, and a 401(k) plan.

Formación

• Experience with medical or pharmacy billing and claims processing.
• Knowledge of Medicare, Medicaid, and commercial payer processes.
• Strong attention to detail, organization, and follow-through.
• Ability to work with multiple computer systems; Excel a plus.
• Familiarity with PCC is preferred but not required.
• Willingness to training for the right candidate.

Responsabilidades

• Prepare, review, and submit billing claims accurately and on time.
• Maintain complete and accurate billing and insurance records.
• Review rejected or denied claims, investigate discrepancies, and assist with corrections, appeals, and resubmissions.
• Follow up on outstanding claims and reimbursement issues with payers.
• Verify insurance information and coordinate with pharmacy, census, and prior authorization teams as needed.
• Track open issues and document follow-up activity through resolution.

Conocimientos

Medical billing

Pharmacy billing

Insurance claims

Medicare knowledge

Medicaid knowledge

Commercial insurance

Attention to detail

Organization

Communication

Excel proficiency

PCC knowledge

Descripción del empleo

Full-Time | On-Site | 221 West Market Street, Pottsville, PA 17901

Concept Billing Solutions is seeking an organized, detail-oriented Medical Billing Specialist to support accurate, timely pharmacy and healthcare billing. You will help manage claims, research discrepancies, and coordinate with insurance providers and internal teams to resolve billing issues.

What You’ll Do

• Prepare, review, and submit billing claims accurately and on time.

• Maintain complete and accurate billing and insurance records.

• Review rejected or denied claims, investigate discrepancies, and assist with corrections, appeals, and resubmissions.

• Follow up on outstanding claims and reimbursement issues with payers.

• Verify insurance information and coordinate with pharmacy, census, and prior authorization teams as needed.

• Track open issues and document follow-up activity through resolution.

What We’re Looking For

• Experience with medical or pharmacy billing and insurance claim processing preferred; long-term care (LTC) pharmacy experience is a plus.

• Familiarity with Medicare, Medicaid, and commercial insurance processes is helpful.

• Strong attention to detail, organization, communication, and follow-through.

• Comfort working with multiple computer systems; Microsoft Excel proficiency is a plus.

• Knowledge of PointClickCare (PCC) preferred but not required.

• Training may be available for candidates with the right skills and aptitude.

Benefits

• Medical insurance

• Paid vacation and paid holidays

• 401(k) retirement plan

About Concept Billing Solutions

Concept Billing Solutions is a growing medical billing and revenue cycle management company serving healthcare organizations. Our team supports clients with billing, insurance coordination, prior authorizations, and related administrative services. We value accuracy, responsiveness, teamwork, and dependable follow-through.