• Bachelor’s degree in any field.
• Minimum of 5 years’ experience in medical billing.
• Strong understanding of the Revenue Cycle Management (RCM) process (charge posting, payment posting, AR follow-up).
• Knowledge of HIPAA regulations and compliance standards.
• Proficiency in Practice Management Software (PMS).
• Familiarity with insurance guidelines, EOB, and ERA processing.
• Strong Excel and data entry skills.
• Excellent leadership, organizational, and communication abilities.

Key Responsibilities:

• Supervise and mentor medical billing associates to ensure performance and compliance.
• Accurately enter and review patient demographics, insurance details, and charges in the billing system.
• Verify patient eligibility and payer information prior to charge entry.
• Process and submit medical claims; correct rejections to minimize denials.
• Post insurance and patient payments with daily reconciliation.
• Verify bulk checks, insurance payments, and correspondence before posting.
• Follow up on outstanding claims and promptly appeal denials.
• Communicate with insurance payers to ensure timely claim resolution.
• Generate accurate patient statements and ensure on-time delivery.
• Apply insurance adjustments and contractual write-offs correctly.
• Maintain accurate documentation of claims, payments, and correspondence.
• Prepare and update the Daily Work Confirmation Report and secure sign-offs.
• Ensure compliance with HIPAA regulations and organizational protocols.