What are the responsibilities and job description for the Medical Billing Specialist position at MDB Health Services?
MDB Health Services Overview
MDB provides medical and psychiatric services to residents in long-term care facilities (LTCs) in Mississippi, Louisiana and Arkansas. We are the largest healthcare provider in LTC in the region, and we have an outstanding team of physicians, nurse practitioners, and therapists.
We have been providing services in LTC settings for over 12 years, and we have a very strong reputation among both clinicians and LTCs.
Job Summary
We are seeking a detail-oriented Medical Billing Specialist with a focus on Accounts Receivable to support our in-house revenue cycle operations. This role involves overseeing the full AR process for multiple Rural Health Clinics, including timely and accurate billing of Part A and Part B services. You'll be joining a collaborative, supportive team at our company headquarters.
Primary Responsibilities
Core duties emphasize Accounts Receivable functions across the entire billing cycle:
Required Experience:
MDB provides medical and psychiatric services to residents in long-term care facilities (LTCs) in Mississippi, Louisiana and Arkansas. We are the largest healthcare provider in LTC in the region, and we have an outstanding team of physicians, nurse practitioners, and therapists.
We have been providing services in LTC settings for over 12 years, and we have a very strong reputation among both clinicians and LTCs.
Job Summary
We are seeking a detail-oriented Medical Billing Specialist with a focus on Accounts Receivable to support our in-house revenue cycle operations. This role involves overseeing the full AR process for multiple Rural Health Clinics, including timely and accurate billing of Part A and Part B services. You'll be joining a collaborative, supportive team at our company headquarters.
Primary Responsibilities
Core duties emphasize Accounts Receivable functions across the entire billing cycle:
- Daily claim submission to insurance payers;
- Research and resolve denied, rejected, or no-response claims, including correction and appeals;
- Follow up on unpaid or underpaid claims in a timely and persistent manner to ensure resolution and maximize reimbursement;
- Maintain updated patient and insurance data in billing software to ensure claims are accurate and up to date;
- Collaborate with team leads and supervisors on reimbursement issues, trends in denials, or workflow improvements;
- Respond to requests for medical records and additional claim documentation as needed;
- Assist with reporting and documentation related to collections, AR trends, and key performance indicators (KPIs).
Required Experience:
- Minimum 2 years of medical billing experience
- Strong working knowledge of the full AR lifecycle within a healthcare setting
- High school diploma or GED (required)
- Preferred certifications: CCS, CCSP, CPC, CPC-P, RHIA, COC
- Preferred: Associate degree or higher in Health Information Management, Healthcare Administration, or related field
- Proficient in billing both electronic and paper claims
- Strong understanding of ICD-10, CPT/HCPCS coding, and modifier usage
- Ability to interpret insurance guidelines for Medicare, Medicaid, and commercial payers
- Skilled in EHR/EMR navigation, payor portals, and billing software
- Strong phone communication and problem-solving skills for working denials and collections
- Familiarity with payor bundling/unbundling rules, medical necessity criteria, and common denial reasons