What are the responsibilities and job description for the Certified Medical Billing Specialist position at Out-Patient Internal Medicine?
Position Overview
We are an established internal medicine practice seeking an experienced and detail-oriented Certified Medical Billing Specialist to join our team on a part-time basis.
The ideal candidate will have a strong understanding of the medical billing and revenue cycle process within a physician practice, including claim submission, payment posting, insurance follow-up, accounts receivable, denial management, coding review, and patient billing.
The ideal candidate will have strong experience with insurance claims follow-up, accounts , denial resolution, and reimbursement processes. This position requires someone who is organized, dependable, and comfortable independently researching and resolving outstanding claims.
Experience with AdvancedMD is highly preferred.
Key Responsibilities
- Demonstrate a comprehensive understanding of the entire Revenue Cycle Management (RCM) process, from patient registration and insurance verification through final payment and account resolution
- Payment posting for posted transactions
- Perform timely follow-up on outstanding and unpaid insurance claims
- Work insurance A/R to ensure appropriate and timely reimbursement
- Contact insurance carriers to obtain claim status and resolve payment delays
- Research denied, rejected, underpaid, and incorrectly processed claims
- Identify the cause of claim denials and take appropriate corrective action
- Correct and resubmit claims when necessary
- Prepare and submit claim reconsiderations and appeals when appropriate
- Identify underpayments and discrepancies in payer reimbursement
- Review aging reports and prioritize outstanding balances for follow-up
- Communicate with insurance companies regarding eligibility, claim processing, authorization, and reimbursement issues
Required Qualifications
- Current medical billing/coding certification required (CPB, CPC, CBCS, CCA, CCS, or equivalent)
- 2 years of medical billing experience
- Strong experience with insurance claims follow-up and A/R management
- Knowledge of CPT, ICD-10, and medical billing terminology
- Knowledge of major commercial insurances and Medicare
- Experience researching and resolving claim denials and rejections
- Ability to independently research and resolve billing issues
- Knowledge of HIPAA and patient confidentiality requirements
Preferred Qualifications
- Experience working in internal medicine, family medicine, or primary care
- Experience using AdvancedMD
Ideal Candidate
We are looking for someone who is proactive and persistent when working outstanding claims. The successful candidate should be comfortable identifying why a claim has not been paid, communicating directly with insurance carriers, determining the appropriate next steps, and following the claim through to resolution.
Schedule
This is a part time position with flexible hours
Benefits:
- Flexible schedule
Work Location: In person
Salary : $41,500 - $57,101