Medical Billing Specialist
Location: Washington, DC
Job Type: Temp to Hire
Company: TRC Talent Solutions
Salary: $17.75 - $18.00 Per Hour
Category: Financial Services
Job Description Apply Now
The role of Medical Billing Specialist is critical in supporting healthcare organizations in maintaining healthy revenue cycles and ensuring accurate reimbursement for services rendered. As a Medical Billing Specialist, you will focus on back-end accounts receivable (A/R) follow-up, resolving aged accounts, and addressing denials related to both hospital and physician billing. This position is designed for professionals who have experience with the full revenue cycle, including third-party payer remediation and the management of various revenue outsource functions.
As a Medical Billing Specialist, you will be responsible for following up on outstanding insurance receivables, including those that have been denied, underpaid, or remain unresolved. This involves regular communication with commercial and government payers to collect insurance claim balances and resolve discrepancies. The position calls for strong analytical and research skills, as you will need to review patient accounts in depth, identify the root cause of denials, and implement solutions that ensure proper payment. Your contributions directly impact both client satisfaction and the financial health of healthcare providers.
Working as a Medical Billing Specialist offers a rewarding career path with opportunities for professional growth and advancement. You will collaborate with a team of experts dedicated to providing high-quality service to healthcare providers. The organization's commitment to employee well-being is reflected in the comprehensive benefits package, flexible scheduling, and support for continuous learning. If you are seeking a position where your expertise in medical billing can make a meaningful difference, we encourage you to apply for this full-time opportunity by clicking the job application button.
Medical Billing Specialist - Summary- Responsible for managing and resolving assigned accounts receivable by following up with payers and addressing denials.
- Supports healthcare providers and hospital entities with third-party A/R remediation and revenue management.
- Provides in-depth research, analysis, and problem-solving to ensure account resolution.
- Ensures productivity and quality standards are consistently met for assigned clients.
- Conduct second-tier account follow-up activities in compliance with organizational, client, and regulatory guidelines for outstanding insurance receivables.
- Perform account follow-up on high-dollar accounts and research items requiring further investigation.
- Apply knowledge of the healthcare revenue cycle to achieve quality control standards.
- Communicate professionally with colleagues, payers, and clients as needed.
- Review and ensure the accuracy of claim processing, including eligibility discrepancies, claims form review (UB-04, 1500), DRG, per diem, case rate, and fee schedule reimbursements.
- Identify and communicate trends, payer behavior, workflow inconsistencies, or barriers to account resolution to team leadership.
- Document correspondence and actions taken on assigned accounts.
- Assess accounts for balance and coding accuracy, payer billing, denials, and outstanding insurance requests.
- Prepare documentation for corrections or escalate payer errors for re-processing as appropriate.
- Identify billing or coding issues and initiate re-bills or corrected bills as needed.
- Contact third-party payers and government agencies to resolve outstanding account balances.
- Maintain departmental productivity and quality standards on a consistent basis.
- Demonstrate proficiency in PC usage and keyboarding, with a minimum typing speed of 40 wpm.
- Multitask across several applications and systems, including Microsoft Suite and various internet browsers.
- Permanent position with opportunities for career growth.
- Flexible scheduling options to support work-life balance.
- Comprehensive health, dental, vision, and life insurance packages.
- Paid time off, including PTO, paid sick leave, and paid holidays.
- Minimum of 1-2 years of healthcare provider revenue cycle experience required.
- High school diploma or equivalent required; associate's or bachelor's degree preferred.
- Experience using Epic, Cerner, Invision, Soarian, McKesson, Allscripts, Meditech, or other industry-recognized revenue cycle management systems.
- Hands-on knowledge of UB-04 and/or HCFA 1500 billing, CPT and ICD-10 coding, and terminology for hospital and/or physician billing.
- Ability to type at least 40 words per minute and demonstrate general PC aptitude.
- Ability to multitask effectively in multiple systems and applications.
- Detail-oriented individual with a strong understanding of medical billing and the healthcare revenue cycle.
- Excellent communicator, able to interact professionally with payers, clients, and team members.
- Skilled in problem-solving and researching complex billing and insurance issues.
- Comfortable working independently and as part of a team to achieve quality and productivity goals.
- Proficient in electronic health record and billing systems, with adaptability to learn new platforms as needed.
- Physical requirements include frequent use of hands and fingers, regular talking or hearing, and the ability to exert up to 15 pounds of force occasionally.
- Must be able to sit for extended periods while performing data entry and account analysis tasks.
- The organization is an Equal Opportunity Employer (EOE) and considers all qualified applicants for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
- If you are passionate about medical billing and eager to contribute to a collaborative and supportive environment, we encourage you to apply for the Medical Billing Specialist full-time position by clicking the job application button.