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:
โข Process medical claims and billing transactions accurately and in a timely manner to support consistent reimbursement.
โข Monitor unpaid accounts, investigate outstanding balances, and pursue collections through appropriate follow-up activities.
โข Review denied or rejected claims, identify root causes, and take corrective action to improve payment outcomes.
โข Prepare and submit appeals with complete supporting documentation to address claim disputes and reimbursement delays.
โข Handle hospital billing tasks in accordance with payer guidelines, internal standards, and billing deadlines.
โข Communicate with insurance carriers, patients, and internal stakeholders to clarify account details and resolve payment issues.
โข Maintain organized billing records and update account information to ensure accurate documentation and reporting.โข Prior hands-on experience in medical billing and healthcare collections is required.
โข Proven ability to work denials and manage appeals through resolution.
โข Knowledge of hospital billing practices and payer reimbursement processes.
โข Strong attention to detail with the ability to review claims for accuracy and completeness.
โข Comfortable working in an in-office setting in Bethesda, Maryland.
โข Effective communication skills for interacting with payers, patients, and internal teams.
โข Ability to manage multiple accounts and deadlines in a fast-paced environment.