Medical Billing Specialist
Core
Ensure accurate and timely charge capture within a healthcare revenue cycle by reviewing charges, resolving discrepancies, and maintaining billing records.
Role type
Medical Billing Specialist
Builds
Accurate charge files and billing reports for oncology and specialized medical services
Domain
Healthcare / Revenue Cycle Management
Required skills
Medical billing, HCPCS, CPT, ICD coding, Insurance policies, Reimbursement processes, Charge entry, Medical records review, Analytical thinking, Attention to detail
Preferred skills
Oncology healthcare experience
Technologies
Windows-based applications, Microsoft Word, Outlook, Excel
Responsibilities
Review, audit, and adjust charges from interfaced files; Manually enter and audit specialized charges (pathology, molecular testing, etc.); Run and review billing reports; Create daily charge files from laboratory software; Reconcile appointments against posted charges; Resolve claim edits, rejections, and denials; Validate diagnoses, procedures, and modifiers in medical records.
Seniority
Individual Contributor