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Medical Billing Specialist

locationGaithersburg - Maryland (MD),


Job Description:

Medical Billing Specialist: Experience Necessary

Job Summary:

The Medical Billing Specialist teams perform several types of work and coordinates information between the patients, insurance companies and our clients involving the use of computerized information systems to perform patient pre-registration, pre-adjudication, post adjudication and cash postings. This person will be working in a fast-paced environment where they will be expected to display strong customer service and communication skills to properly assist patients to help resolve their medical claims.


  • Contact the payers or patient as appropriate for corrective action to resolve the issue and receive payment of claims
  • Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal
  • Appeal the insurance’s processing decision (verbally or written) to request a reconsideration.
  • Understanding and complying with various company, state, and federal regulations
  • Meeting basic requirements for a variety of key performance indicators
  • Multitasks between a variety of technology, systems, tools, and resources to support departmental workflows.
  • Supports an exceptional experience through all interactions, ensuring professional, timely and accurate communication - both verbally and in writing
  • Qualifications:

    • Must be able to complete and clear background check
    • 40 hour schedule Monday thru Friday 8:00am-5:00pm CST
    • Ability to organize work under pressure
    • Ability to type and multi-task
    • Ability to problem solve and think critically to identify payer trends
    • Strong problem solving skills
    • Strong written and oral communication skills
    • Time management and sound decision-making skills
    • Computer proficiency with Microsoft Word, Excel and other office software applications


    • Full comprehensive paid training program
    • Ability to work from home after 6 months
    • Career advancement opportunities
    • Health, dental and vision coverage
    • Paid time off and Holiday Pay
    • 401(k) plan with company match

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