Job Details

Key responsibilities included:

• Prepare and submit insurance claims to carriers; follow up on unpaid, rejected, or denied claims, resolving issues and resubmitting as needed. 
• Review claims and bills for accuracy and completeness; obtain missing payer information to support processing. 
• Post adjustments, refunds, and transfers of responsibility; update accounting records accordingly. 
• Generate and send invoices; reconcile billing data and compile reports; field inquiries from internal teams or clients. 
• Verify billing data, prepare statements, process incoming payments, and accurately apply them. 
• Investigate and resolve discrepancies, including misapplied payments—potentially initiating collections or engaging third-party collections.
• Maintain and update account records with high accuracy and generate accounts receivable/billing reports for management. 
• Communicate with clients regarding account status, outstanding charges, and billing disputes. 

🎓 Qualifications & Skills

Educational & Professional Background

• High school diploma or GED required, finance, healthcare administration, or related field preferred.  
• Prior experience in accounts receivable billing, insurance billing, or customer service/data entry welcomed. 

Technical & Domain Knowledge

• Understanding of accounting principles, billing processes, collections, and finance fundamentals.
• Familiarity with medical terminology, insurance providers (Medicare, Medicaid), coding (ICD‑10, CPT), and EHR/billing software. 
• Proficiency in financial or billing systems, and Microsoft Office—especially Excel. 

Soft Skills

• Excellent communication, organization, attention to detail, and math skills.
• Strong problem-solving and research abilities to resolve billing or denial issues
• Customer service orientation and ability to meet deadlines in a fast-paced environment. 
• Professionalism, confidentiality, and teamwork capability,

📈 Career Preparation

• Educational paths include post-secondary certificates or associate’s degrees in medical billing/coding, health information tech, or accounting. 
• Optional but beneficial certifications include RHIT (Registered Health Information Technician) or specialized medical billing/coding credentials. 
• OK3132

💼 Ideal Experience

• 1–3+ years in insurance or medical billing/collections, preferably within clinical or insurance environments.
• Experience with prior authorizations, claims appeals, posting remittances, and eligibility verification. 
• Roles in billing teams—Junior Specialist, Senior Specialist, or Lead—offer progression paths into supervisory positions.