Medical Billing & Insurance Specialist

Position Overview:

The Medical Billing & Insurance Specialist is responsible for managing the practice’s core insurance and billing functions, including insurance verification, prior authorizations, claims submission, payment posting, denial follow-up, and patient account support.

This role works closely with patients, insurance carriers, and internal team members to help ensure accurate billing, timely reimbursement, and a positive patient experience. While the primary focus of this position is medical billing and insurance coordination, the role also provides occasional front office support, including scheduling assistance, patient check-in/check-out, and phone coverage as needed.

The ideal candidate is detail-oriented, organized, proactive, and comfortable balancing administrative accuracy with compassionate patient communication.

Key Responsibilities:

• Verify insurance eligibility, benefits, and authorization requirements
  
• Submit and track insurance claims accurately and efficiently
  
• Follow up on denied or rejected claims and manage appeals
  
• Post insurance and patient payments and maintain accurate account records
  
• Communicate with insurance companies regarding claim status and reimbursement issues
  
• Assist patients with billing questions, balances, and payment-related concerns
  
• Maintain accurate and HIPAA-compliant billing documentation and workflows
  

• Assist with patient scheduling and appointment coordination
  
• Greet and check in patients as needed
  
• Provide phone support and route calls appropriately
  
• Support day-to-day administrative functions within the office
  
• Collaborate with clinical and administrative staff to help ensure a smooth patient experience
  

Requirements:

• 2 years of experience in medical billing, insurance coordination, or revenue cycle support
  
• Experience in a private practice healthcare setting preferred (audiology, ENT, PT/OT, optometry, dental, or similar)
  
• Familiarity with CPT, ICD-10, and HCPCS coding
  
• Strong attention to detail and follow-through
  
• Comfortable communicating with both insurance representatives and patients
  
• Ability to multitask and adapt within a collaborative small-practice environment
  
• Strong organizational and problem-solving skills
  

Benefits:

• Health insurance fully funded by the employer
  
• Matching retirement plan
  
• Paid time off and holidays