Medical Billing Support Specialist

ProMD Medical Billing; Miami (FL); On-site; USD 42,000 - 63,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

ProMD Medical Billing in Miami, FL, is seeking a Billing Support Specialist to join our on-site team in the Billing / Revenue Cycle Management department. The role focuses on accurate claim submissions, patient communications, and maintaining billing records with a commitment to excellent customer service.

The ideal candidate will have a high school diploma or equivalent, familiarity with electronic and paper claim processes, and strong attention to detail, confidentiality, and teamwork in a

Qualifications

• High school diploma or equivalent required.
• Experience in medical billing or healthcare administration preferred.
• Familiarity with electronic claim submission and paper claim processing.
• Strong communication, attention to detail, and confidentiality.

Responsibilities

• Transmit electronic insurance claims and verify submissions.
• Review claims for completeness and accuracy.
• Gather supporting documentation and attach to claims.
• Answer patient calls about balances and billing inquiries.
• Maintain organized billing records and ensure HIPAA compliance.

Skills

Attention to detail

Customer service

Organization

Communication skills

Teamwork

HIPAA/compliance

Education

High school diploma

Tools

EHR systems

Billing software

Microsoft Office

Job description

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
• Job Title: Billing Support Specialist (on-site position)
• Department: Billing / Revenue Cycle Management
• Reports To: Billing Supervisor or Revenue Cycle Manager
• Position Summary The Billing Support Specialist provides administrative and operational support to the billing team to ensure timely and accurate submission of insurance claims, proper documentation, and effective communication with patients and insurance payors. This role assists with electronic claim transmissions, prepares and submits paper claims with supporting documentation, and responds to patient inquiries regarding account balances, payments, and billing concerns. The ideal candidate is detail-oriented, organized, and committed to maintaining accurate billing records and providing excellent customer service.

Essential Duties And Responsibilities

• Claims Submission and Transmission
  • Assist the billing unit with transmitting electronic insurance claims and verifying successful claim submissions.
  • Review claims for completeness and accuracy before submission.
  • Identify and report claim transmission errors, rejections, or missing information for correction.
  • Prepare and submit paper claims to insurance companies and other payors when electronic submission is not available or appropriate.
  • Gather and attach required supporting documentation, including medical records, authorizations, referrals, and other relevant billing documents, as applicable.
  • Track submitted claims and maintain accurate records of submission dates and supporting documentation.
• Patient Billing Support
  • Answer incoming patient calls regarding outstanding balances, statements, payments, and general billing inquiries.
  • Explain account balances and billing information in a professional, courteous, and understandable manner.
  • Review patient accounts to help identify payment activity, outstanding charges, and potential billing discrepancies.
  • Direct complex billing questions, disputes, and payment concerns to the appropriate team member for resolution.
  • Document patient communications and follow-up actions accurately in the billing system.
• Documentation and Account Maintenance
  • Maintain organized electronic and paper billing records.
  • Ensure required claim forms and supporting documentation are complete and properly filed.
  • Assist with updating patient account information and correcting administrative errors as needed.
  • Protect confidential patient and financial information in accordance with HIPAA and organizational policies.
• Billing Department Support
  • Collaborate with billing specialists, accounts receivable staff, and other departments to facilitate timely claim processing.
  • Assist with researching rejected claims, missing documentation, and other billing-related issues.
  • Follow up on outstanding claim submissions and elevate unresolved issues to the appropriate personnel.
  • Perform data entry, scanning, filing, and other administrative duties related to billing operations.
  • Meet established productivity, accuracy, and customer service standards.
  • Perform other related duties as assigned.

Qualifications and Requirements

• High school diploma or equivalent required.
• Previous experience in medical billing, healthcare administration, patient account services, or a related field preferred.
• Familiarity with electronic claim submission, paper claim processing, and insurance billing procedures preferred.
• Basic knowledge of insurance payors, claim forms, and supporting documentation requirements.
• Strong verbal and written communication skills.
• Excellent attention to detail, organization, and time management.
• Ability to handle patient inquiries professionally and maintain confidentiality.
• Basic computer skills and proficiency with electronic health records (EHR), billing systems, and Microsoft Office applications.
• Ability to work independently and collaboratively in a fast-paced environment.
• Key Competencies
• Accuracy and attention to detail
• Customer service and telephone etiquette
• Organization and follow-through
• Problem-solving and critical thinking
• Confidentiality and professionalism
• Teamwork and accountability
• Performance Expectations
• Timely and accurate transmission of electronic claims.
• Complete and timely preparation of paper claims with required supporting documentation.
• Professional and responsive handling of patient billing inquiries.
• Accurate documentation of patient communications and billing activities.
• Effective follow-up on claim submission issues and missing information.
• Compliance with established billing procedures, privacy requirements, and departmental standards.