Medical Billing Specialist: Claims & Denials Expert

America's ER Medical Centers; Silver Spring (MD); On-site; USD 45,000 - 65,000; Full time

Job summary

America's ER Medical Centers in Silver Spring, MD seeks a Billing Specialist to manage accurate and timely submission of medical claims, verify patient information, and support revenue cycle operations.

You will electronically submit claims (CMS-1500/UB-04), monitor status, address denials, prepare appeals, generate patient statements, and respond to billing inquiries while ensuring HIPAA compliance.

Responsibilities

• Prepare, review, and submit clean claims to insurance payers (CMS-1500 and/or UB-04)
• Verify patient insurance eligibility and coverage
• Ensure accuracy of patient demographics, charges, and modifiers
• Submit claims electronically and track claim status
• Research claim denials and rejections
• Correct errors and resubmit claims in a timely manner
• Prepare and submit appeals with supporting documentation
• Generate and review patient statements
• Respond to patient billing inquiries professionally and clearly
• Maintain compliance with HIPAA Privacy and Security Rules

Job description

America's ER Medical Centers in Silver Spring, MD seeks a Billing Specialist to manage accurate and timely submission of medical claims, verify patient information, and support revenue cycle operations.

You will electronically submit claims (CMS-1500/UB-04), monitor status, address denials, prepare appeals, generate patient statements, and respond to billing inquiries while ensuring HIPAA compliance.