Our organization is seeking a highly skilled Billing Specialist to manage the medical billing cycle. This individual will ensure accurate and timely claim submission, payment posting, denial management, and overall revenue integrity. The ideal candidate will have hands-on experience in healthcare billing, a solid understanding of insurance workflows, and the ability to coordinate effectively with both clinical and administrative teams. This role requires strong organizational skills, attention to detail, and effective communication. The successful candidate will be able to prioritize tasks, manage multiple projects simultaneously, and meet deadlines. We are looking for someone who is passionate about delivering excellent customer service, working collaboratively as part of a team, and contributing to our organization's mission. Key Responsibilities - Patient intake data entry and validation of demographic and insurance details - Eligibility and benefits verification using payer portals or clearinghouses - Request and documentation of prior authorizations, when applicable - Charge entry: CPT, ICD-10, and POS coding into billing software - Scrubbing and electronic submission of claims (837 format) - Pre-submission error correction for rejected encounters - Coordinate with providers or clinical staff for missing encounter information Back-End Responsibilities - Receive and post payments from ERAs and EOBs into billing software - Apply patient responsibility balances, such as copays, deductibles, and coinsurance - Identify and manage denials, including simple corrections and resubmissions - Reconcile payments with expected reimbursements - Follow up with payers to obtain missing information or resolve issues - Generate and analyze monthly AR (Accounts Receivable) and claim aging reports Qualifications - High School Diploma or equivalent (Associate's or Bachelor's in related field is a plus) - Minimum 1-2 years of experience in medical billing or revenue cycle - Knowledge of billing software (e.g., Practice EHR, Kareo, AdvancedMD, etc.) - Understanding of HIPAA and patient confidentiality - Bilingual (English/Spanish) is a requirement