Medical Claims/Billing Specialist (Entry-Level)

What you’ll do

• Translate clinical services into standardized codes (ICD-10-CM, CPT, HCPCS) with high accuracy.
  

• Prepare, submit, and track claims to commercial, Medicare, and Medicaid payers.
  

• Verify benefits, obtain basic authorizations, and resolve eligibility issues.
  

• Post payments/adjustments from EOBs/ERAs; research underpayments and short pays.
  

• Work aging reports; investigate and resolve denials using payer portals.
  

• Maintain strict confidentiality and data integrity across all systems and documents.
  

• Collaborate with clinicians, front office, and finance to prevent rework and improve first-pass yield.
  

Must-have qualifications

• MediClear (or equivalent HIPAA compliance certification) — required.
  

• Working knowledge of medical billing software and MS Office (Excel/Outlook).
  

• Familiarity with medical terminology and the basics of ICD-10/CPT/HCPCS coding.
  

• Strong numeracy, attention to detail, and clear written/verbal communication.
  

• High integrity and professionalism handling PHI in accordance with HIPAA.
  

Nice to have

• Exposure to clearinghouses and payer portals (Availity, Optum, etc.).
  

• Experience reading EOBs/ERAs and basic denial reason codes.
  

• AAPC or AHIMA entry-level credential (e.g., CPB, CPC-A, CCS-P) or completion of a billing/coding program.
  

What we offer

• Training and mentorship with clear advancement paths in RCM.
  

• Collaborative culture, modern tools, and meaningful work that impacts patient care.
  

• Competitive pay with benefits (details provided during interview).