Company: SFP Health Group |
Job title: Medical Billing Specialist |
Division/Department: Clinical Operations |
Reports to: COO – Chief Operating Officer |
Job Summary: The Billing Data Entry Specialist is responsible for accurately entering, reviewing, and maintaining patient, insurance, billing, and payment information within the organization’s billing and electronic health record systems. This position supports the billing process by ensuring that information is complete, accurate, and entered within established deadlines. The Billing Data Entry Specialist works closely with the billing, clinical, front-office, and administrative teams to resolve missing or incorrect information and support the timely submission and processing of claims. |
Essential Duties and Responsibilities - Enter patient demographics, insurance information, charges, procedure codes, payments, adjustments, and other billing-related information into theappropriate system.
- Review billing documentation for completeness and accuracy before entering orsubmittinginformation.
- Verify that patient and insurance information matches supporting documentation.
- Identifymissing, incomplete, or inconsistent information and follow up with theappropriate departmentfor clarification.
- Assistwith the preparation and submission of insurance claimsin accordance withestablished billing procedures.
- Review claims for basic data-entry errors, including incorrect patient information, insurance details, dates of service, provider information, and billing codes.
- Correct rejected claims or billing records when the issue is related to inaccurate or incomplete data.
- Enter payments, contractual adjustments, write-offs, and other account updates as assigned.
- Maintainaccurateand organized electronic billing records.
- Scan, upload, and properly categorize billing documents within the designated system.
- Assistwith reconciling billing reports andidentifyingdiscrepancies.
- Monitor assigned work queues and complete tasks within established turnaround times.
- Communicate professionally with internal departmentsregardingmissing documentation or billing concerns.
- Maintain the confidentiality of patient, financial, and organizational information.
- Follow HIPAA requirements, organizational policies, and all applicable billing and compliance procedures.
- Participate in training andprocess-improvementactivities asrequired.
- Performadditionalbilling or administrative duties as assigned.
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Required Qualifications - High school diploma or equivalent required.
- At least one year of experience in data entry, billing, medical administration, or a related clerical position preferred.
- Healthcare or medical billing experience preferred.
- Experience working with electronic health records, practice management systems, or billing software is preferred.
- Strong keyboarding and data-entry skills.
Knowledge, Skills, and Abilities - Strong attention to detail and accuracy.
- Ability to enter and review a high volume of information whilemaintainingquality.
- Strong organizational and time-management skills.
- Ability toidentifydiscrepancies and follow established procedures to resolve them.
- Ability to manage multiple assignments and meet deadlines.
- Strong written and verbal communication skills.
- Ability to work independently and collaboratively as part of a team.
- Ability tomaintainconfidentiality and handle sensitive information appropriately.
- Dependable attendance and consistent follow-through.
- Willingness to learn new billing systems, processes, and regulatory requirements.
Performance Expectations The Billing Data Entry Specialist is expected to: - Maintainaccurateand complete billing records.
- Meet established productivity andturnaround-timerequirements.
- Minimizedata-entryerrors that may delay claim submission or payment.
- Complete assigned work queues within established deadlines.
- Promptly report recurring documentation or billing issues.
- Maintain professional communication with employees, providers, patients, and external parties.
- Follow all privacy, security, compliance, and departmental procedures
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Physical & Mental Requirements: (check all that apply) Ability to stand or sit for extended periods of time. Ability to receive and comprehend instructions verbally and/or in writing. Ability to use logical reasoning for simple and complex problem solving. Occasionally requires exposure to communicable diseases or bodily fluids. Occasional travel for clinic activities may be required. The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice. |
Review by: |
Approved by: Date: 07/15/2026 |
