Medical Billing Representative

Role Overview

• Manage insurance claim submissions, payment processing, and billing issue resolution
• Prepare and submit clean, accurate claims to insurance companies via electronic systems, mail, or fax
• Respond to inquiries from providers, staff, and insurance companies regarding billing concerns
• Identify, troubleshoot, and resolve billing discrepancies or complaints
• Review accounts and recommend next steps to the Billing Team Lead for resolution or escalation
• Perform collection activities including follow-ups, claim corrections, and resubmissions to third-party payers
• Process insurance payments and maintain accurate daily deposit records
• Generate and maintain daily, weekly, and monthly billing and collection reports
• Participate in mandatory monthly staff meetings
• Maintain strict confidentiality of patient health information and ensure full compliance with HIPAA regulations

Requirements

• 1–3 years of proven experience in medical billing and collections
• Proficiency in Electronic Medical Record (EMR) systems
• Strong understanding of healthcare billing codes (CPT, ICD-10) and claims submission procedures
• Familiarity with medical coding, third-party payer operations, and healthcare collections
• Working knowledge of HIPAA and PHI confidentiality standards
• High attention to detail and ability to create consistent financial workflows
• Excellent communication skills for engaging with providers, staff, and documentation teams
• Strong interpersonal skills and ability to thrive in a collaborative team environment

Benefits

• Make a positive impact on patient care by providing the best available medical practice solutions to our physician and medical practice clients
• Join a successful and continually growing USA-based company established in 1999 whose company size has doubled within the last 3 years
• Become part of a team-oriented environment