Medical Billing Specialist

A well-established nonprofit organization in Shelton is seeking a Medical Billing Specialist to support its growing healthcare operations. This role is ideal for a detail-oriented detail oriented who enjoys working in a mission-driven environment and has experience managing the full medical billing cycle. The Medical Billing Specialist will play a key role in ensuring timely and accurate billing, claims processing, payment posting, and revenue cycle support. Key Responsibilities Process and submit medical claims to Medicare, Medicaid, managed care organizations, and commercial insurance providers. Review claims for accuracy and completeness prior to submission. Monitor claim status and proactively follow up on denied, rejected, or unpaid claims. Research and resolve billing discrepancies, payment variances, and reimbursement issues. Post insurance and patient payments accurately and reconcile accounts. Manage accounts receivable aging and conduct collection activities as needed. Verify patient insurance eligibility and benefits. Work closely with providers, clinical staff, and leadership to resolve billing concerns and improve reimbursement processes. Maintain compliance with payer guidelines, HIPAA regulations, and organizational policies. Assist with reporting, audits, and month-end revenue cycle activities.

Qualifications:

2+ years of medical billing experience required. Experience billing Medicare, Medicaid, and commercial insurance plans. Knowledge of CPT, ICD-10, and HCPCS coding principles. Experience working within an EMR/EHR and medical billing software. Strong understanding of revenue cycle management and accounts receivable processes. Excellent problem-solving, communication, and organizational skills. Ability to work independently while supporting a collaborative team environment.

Compensation

$25.00-$35.00 Hourly

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