Position Summary

The Medical Billing Specialist will provide clerical and billing expertise to ensure patients receive high-quality, efficient care. This role is responsible for accurate charge entry, payment posting, claims processing, and reconciliation while maintaining compliance with established standards. The ideal candidate is detail-oriented, proficient in AR processes, and committed to supporting both the patient experience and operational efficiency.

Job Details

  • Title: Medical Billing Specialist – AR & Payment Posting
  • Location: Work from Home until further notice
  • Work Schedule: Monday to Friday | 8 AM to 5 PM PST
  • Holidays to follow: Select PH Holidays

Essential Duties and Responsibilities

  • Promptly respond to information requests internally and externally.
  • Accurately enter charges from superbills and demographic reports.
  • Apply payer-specific data including modifiers, CPT, ICD-9, and ICD-10 codes, and authorization requirements.
  • Process charge batches and reconcile discrepancies across all billing systems.
  • Track and follow up on information requests to and from the practice.
  • Meet supervisor-set goals regarding error-free work, compliance, and process adherence.
  • Post payments accurately and in a timely manner.
  • Handle patient phone calls related to billing inquiries.
  • Process claims efficiently and accurately.
  • Perform other duties as assigned.

Qualifications

Required:

  • 3–5 years of experience in a U.S. healthcare provider or medical billing firm environment.
  • Hands-on experience with Accounts Receivable (AR) processes.
  • Ability to learn quickly and adapt to new systems.
  • Strong oral and written communication skills.
  • Ability to work independently while being an effective team player.

Preferred:

  • Prior experience in payment posting and claims processing.
  • Familiarity with U.S. healthcare billing regulations and payer requirements.

Competencies

  • Detail-oriented with strong organizational skills.
  • Ability to maintain accuracy under pressure and handle high-volume workloads.
  • Strong interpersonal skills to interact with internal teams and patients professionally.