Onsite Medical Billing Specialist — Medicare Claims & Denials

Ultimate Staffing; Durham (NC); On-site; USD 34,000 - 41,000; Full time

Job summary

Ultimate Staffing Services in Durham, NC is seeking a Medical Billing Specialist for a fully onsite role in a healthcare and long-term care environment. You will manage resident and patient billing, submit insurance claims, and ensure HIPAA compliance.

The ideal candidate has at least 3 years of medical billing experience, strong communication skills, and familiarity with Medicare Part A and Part B, PPOs, HMOs, and related plans.

Qualifications

• High School Diploma or equivalent required.
• Minimum of 3 years of experience in medical billing and insurance claims processing.
• Strong understanding of Medicare Part A and Part B, supplemental insurance plans, deductibles, co-insurance, and PPO/HMO structures.
• Experience with medical accounts receivable and billing reconciliation.
• Proficiency with billing software, spreadsheets, and web-based applications.
• Strong attention to detail and organizational skills.
• Excellent communication and customer service abilities.
• Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Process and manage resident and patient billing for healthcare and related services.
• Submit and follow up on medical insurance claims, including Medicare, supplemental insurance, and private-pay accounts.
• Investigate, track, and resolve denied or rejected claims.
• Maintain accurate resident and patient account records and billing profiles.
• Perform accounts receivable functions, including payment posting and account reconciliation.
• Verify insurance coverage, benefits, deductibles, co-insurance, and eligibility information.
• Communicate with insurance carriers, residents, families, and internal departments regarding billing inquiries.
• Ensure compliance with HIPAA regulations and confidentiality standards.
• Assist with month-end billing activities and reporting as needed.
• Provide exceptional customer service when addressing billing questions and concerns.

Skills

Medical billing

Insurance claims processing

Medicare knowledge

Accounts receivable

Detail orientation

Communication skills

Education

High School Diploma or equivalent

Medical Billing certification (preferred)

Tools

Billing software

MatrixCare

Spreadsheets

Job description

Ultimate Staffing Services in Durham, NC is seeking a Medical Billing Specialist for a fully onsite role in a healthcare and long-term care environment. You will manage resident and patient billing, submit insurance claims, and ensure HIPAA compliance.

The ideal candidate has at least 3 years of medical billing experience, strong communication skills, and familiarity with Medicare Part A and Part B, PPOs, HMOs, and related plans.