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Position Summary

The Medical Biller Specialist will be responsible for managing end-to-end billing activities for healthcare claims, ensuring timely and accurate submission, payment follow-up, and reimbursement processing for a Texas-based healthcare client. This role supports revenue cycle efficiency by handling medical billing transactions, claim corrections, insurance coordination, and payment reconciliation while maintaining compliance with healthcare billing standards.

Key Responsibilities

• Prepare, review, and submit accurate medical claims to insurance payers and clearinghouses;
• Ensure timely billing of services rendered in accordance with payer and client requirements;
• Verify claim details, billing codes, patient information, and documentation prior to submission.
• Monitor claim status and follow up on pending, denied, or unpaid claims;
• Perform claim corrections, rebilling, and resubmissions as needed;
• Coordinate with insurance providers, healthcare facilities, and internal teams regarding billing discrepancies;
• Review Explanation of Benefits (EOBs) and payment remittances;
• Support payment posting validation and reconciliation activities;
• Identify billing issues, trends, and process gaps for escalation.
• Maintain accurate documentation of billing activities, claim actions, and payer communications;
• Ensure compliance with healthcare billing regulations, payer guidelines, and internal workflows.

Qualifications

• At least 1 year of experience in US Healthcare Billing or Revenue Cycle Management (RCM);
• Strong background in Medical Billing, Claims Submission & Rebilling, Insurance Verification / Coordination, Payment Posting Validation, Denial Review / Basic Claims Resolution, and Accounts Receivable (AR) follow-up
• Familiarity with clearinghouse systems, EMR/EHR platforms, and payer portals;
• Understanding of CPT, ICD-10, HCPCS, and general medical billing workflows;
• Strong attention to detail and accuracy;
• Good analytical and problem-solving skills;
• Excellent English communication skills (written and verbal);
• Ability to work in a fast-paced, metrics-driven healthcare support environment;