Medical Billing Specialist — Denials & Reimbursement Expert

OSS Health; York (York County); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive Wages

Medical, Dental, Vision from day 1 of"

Disability and Life Insurance within 0

Company-Paid Group Life Insurance, SD&

Paid Time Off (PTO)

401(k) plan and profit sharing

Job summary

OSS Health in York County, PA is seeking a Medical Billing Specialist to ensure proper reimbursement by reviewing payer requirements, correcting errors, and supporting Patient Financial Services with billing questions.

The role emphasizes accuracy, timely resubmissions of denied claims, coordination with physicians and front-end staff, and adherence to CMS and payer policies. Experience with Medent, CPSI, SSI is preferred.

Qualifications

• High school diploma or equivalent required; Associate degree or certificate preferred.
• Minimum 2 years’ experience in medical insurance billing.
• Working knowledge of Medicare, Medicaid and commercial payer requirements.

Responsibilities

• Verify claim accuracy, including demographics, insurance coverage, coding, modifiers and required documentation.
• Correct and resubmit rejected or denied claims promptly.
• Communicate with payers to resolve delays, denials and underpayments.
• Document all account activity in billing systems per department standards.
• Review denial codes and EOBs to determine root causes.
• Initiate corrections, appeals or re-billing procedures as needed.
• Work with coding, clinical and front-end teams to prevent recurring errors.
• Assist patients and Patient Financial Services with billing questions and balance inquiries.
• Ensure billing practices comply with payer policies and CMS regulations.
• Maintain thorough, accurate records of billing actions and follow-ups.
• Support audits and quality reviews.
• Escalate difficult or recurring issues to Revenue Cycle Manager to identify trends.

Skills

Detail oriented

Organizational skills

Time management

Communication skills

Team player

Prioritize duties

Education

High school diploma or equivalent

Associate degree or accredited certificate in medical billing

Tools

Medent

CPSI

SSI

Job description

OSS Health in York County, PA is seeking a Medical Billing Specialist to ensure proper reimbursement by reviewing payer requirements, correcting errors, and supporting Patient Financial Services with billing questions.

The role emphasizes accuracy, timely resubmissions of denied claims, coordination with physicians and front-end staff, and adherence to CMS and payer policies. Experience with Medent, CPSI, SSI is preferred.