Job Title

Position Summary The Medical Billing Specialist serves as the primary point of contact for patients regarding billing, insurance, and account-related inquiries. This role is responsible for explaining charges, resolving billing questions, facilitating payments, and supporting account resolution while ensuring compliance with payer, regulatory, and organizational standards. Key Responsibilities * Respond to inbound patient inquiries via phone, email, chat, and written correspondence related to billing statements, balances, and insurance processing. * Explain charges, payments, adjustments, and insurance benefits in a clear and professional manner. * Review patient accounts to identify billing issues, payment posting errors, or insurance discrepancies. * Facilitate patient payments, payment plans, and financial assistance applications in accordance with policy. * Escalate complex billing, coding, or payer issues to appropriate internal teams. * Document all patient interactions accurately in the billing or patient accounting system. * Maintain compliance with HIPAA privacy and security requirements. * Meet productivity, quality, and customer satisfaction standards. * Support resolution of patient complaints and disputes in a timely manner. Education and Experience * High school diploma or equivalent required * Associate degree or coursework in healthcare administration or related field preferred * 1-3 years of experience in medical billing, patient financial services, or healthcare customer service preferred Skills * Working knowledge of medical billing terminology, insurance processes, and explanation of benefits (EOBs) * Understanding of common payer types (Medicare, Medicaid, commercial, self-pay) * Strong customer service and communication skills, including de-escalation techniques * Ability to navigate billing systems and multiple software applications * Attention to detail and accuracy in account review and documentation * Ability to handle sensitive financial and health information confidentially Monday to Friday