We are looking for an experienced Medical Billing/Claims/Collections specialist to support a busy healthcare operation in Bethesda, Maryland. This Long-term Contract position is ideal for someone who can manage billing activity, follow up on outstanding claims, and resolve payment issues with accuracy and persistence. The selected candidate will play a key role in maintaining steady reimbursement workflows while working on-site in an office environment.
Responsibilities:
• Process medical claims and billing transactions accurately and in a timely manner to support consistent reimbursement.
• Monitor unpaid accounts, investigate outstanding balances, and pursue collections through appropriate follow-up activities.
• Review denied or rejected claims, identify root causes, and take corrective action to improve payment outcomes.
• Prepare and submit appeals with complete supporting documentation to address claim disputes and reimbursement delays.
• Handle hospital billing tasks in accordance with payer guidelines, internal standards, and billing deadlines.
• Communicate with insurance carriers, patients, and internal stakeholders to clarify account details and resolve payment issues.
• Maintain organized billing records and update account information to ensure accurate documentation and reporting.• Prior hands-on experience in medical billing and healthcare collections is required.
• Proven ability to work denials and manage appeals through resolution.
• Knowledge of hospital billing practices and payer reimbursement processes.
• Strong attention to detail with the ability to review claims for accuracy and completeness.
• Comfortable working in an in-office setting in Bethesda, Maryland.
• Effective communication skills for interacting with payers, patients, and internal teams.
• Ability to manage multiple accounts and deadlines in a fast-paced environment.