Job Description
We are seeking a Medical Billing Specialist & Reporting Analyst to manage end-to-end billing operations and ensure accuracy in claims submission, payment posting, and reporting. The ideal candidate will have strong analytical skills, proficiency in Excel, and a deep understanding of the US healthcare billing process.
Key Responsibilities:
- Prepare, review, and submit medical claims to insurance companies accurately and timely.
- Monitor claim rejections and denials; identify root causes and ensure prompt resolution.
- Post payments and reconcile accounts to ensure proper posting in the system.
- Generate and maintain daily, weekly, and monthly performance reports related to billing and collections.
- Track KPIs such as claim submission accuracy, denial rates, and payment turnaround times.
- Perform data analysis to identify trends and provide insights for process improvement.
- Maintain confidentiality and compliance with HIPAA and company policies.
Requirements:
- Familiarity with EHR/PM systems and payer portals.
- Strong analytical and communication skills.
- Detail-oriented, organized, and able to meet deadlines.
- Bachelor’s degree (preferably in Business, Finance, Healthcare, or related field).
- 6 months to 1.5 years of experience in US medical billing and reporting.