Senior Medical Billing Specialist

Find Great People | FGP; Seneca (SC); On-site; USD 48,000 - 68,000; Full time

Job summary

Find Great People | FGP is seeking a Senior Medical Billing Specialist to join our Seneca, SC team. The ideal candidate will have 3+ years of dental or medical billing experience and be proficient with Medicaid claims.

You will prepare, submit, and follow up on insurance claims, verify patient benefits, and support revenue cycle activities. This full-time role offers full benefits and stability in a growing practice.

Qualifications

• High school diploma or equivalent.
• Minimum of 3 years of experience in dental or medical insurance billing and claims processing.
• Experience processing Medicaid claims.
• Strong knowledge of dental insurance claims, reimbursement procedures, and benefits verification.
• Understanding of CDT coding and dental terminology.
• Proficiency with Microsoft Office and revenue cycle management.

Responsibilities

• Prepare, review, and submit dental insurance claims accurately through electronic and paper channels.
• Monitor claim status and proactively follow up on outstanding, delayed, rejected, or denied claims.
• Investigate and resolve claim discrepancies, underpayments, and reimbursement issues.
• Prepare and submit appeals with appropriate supporting documentation.
• Verify patient insurance eligibility, benefits, coverage limitations, deductibles, and waiting periods.
• Communicate insurance benefits, claim updates, and estimated out-of-pocket costs to patients.
• Manage insurance accounts receivable and help reduce outstanding balances through timely follow-up.
• Post insurance payments, adjustments, and reconcile insurance accounts accurately.
• Ensure proper use of CDT codes and maintain compliant claim documentation.
• Maintain accurate patient insurance records and assist with reporting, collections, and other office support activities as needed.

Skills

Medicaid claims

Dental insurance claims

3+ years experience

CDT coding knowledge

Microsoft Office

Revenue cycle management

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

We are seeking a professional seeking an experienced Senior Medical Billing Specialist to join a growing team in Seneca, SC. This is a full time, permanent/direct hire opportunity with full benefits. The ideal candidate will have 3+ years of medical or dental billing experience and will have expereince processing Medicaid claims.

Responsibilities

• Prepare, review, and submit dental insurance claims accurately through electronic and paper channels
• Monitor claim status and proactively follow up on outstanding, delayed, rejected, or denied claims
• Investigate and resolve claim discrepancies, underpayments, and reimbursement issues
• Prepare and submit appeals with appropriate supporting documentation
• Verify patient insurance eligibility, benefits, coverage limitations, deductibles, and waiting periods
• Communicate insurance benefits, claim updates, and estimated out-of-pocket costs to patients
• Manage insurance accounts receivable and help reduce outstanding balances through timely follow-up
• Post insurance payments, adjustments, and reconcile insurance accounts accurately
• Ensure proper use of CDT codes and maintain compliant claim documentation
• Maintain accurate patient insurance records and assist with reporting, collections, and other office support activities as needed

Qualifications

• High school diploma or equivalent
• Minimum of 3 years of experience in dental or medical insurance billing, and claims processing
• Experience processing Medicaid claims
• Strong knowledge of dental insurance claims, reimbursement procedures, and benefits verification
• Understanding of CDT coding and dental terminology
• Proficiency with Microsoft Office
• Experience supporting revenue cycle management initiatives
• Familiarity with a variety of dental insurance carriers and reimbursement guidelines