Medical Billing Specialist

Job Description

Job Description

Department: Business Office
Pay Type: Hourly
Location: Nashua, NH (Work-from-home flexibility after training)
Schedule: Monday – Friday, 8:30 AM – 5:00 PM

About the Role
We are seeking a detail-oriented Medical Billing Specialist to join our Business Office team. In this role, you will be responsible for evaluating and resolving insurance account balances to ensure accurate and timely reimbursement. The ideal candidate has experience with government payers and Anthem, and a strong understanding of medical billing and accounts receivable processes.

Once fully trained, this position offers flexibility to work from home, with occasional in-office days in Nashua.

Key Responsibilities

• Contact insurance companies daily to follow up on outstanding claims, payments, or retractions.

• Refile claims via mail or electronic submission for missing or denied claims.

• Review and resolve insurance denials; collaborate with the coding department to correct claims.

• Prepare and submit appeals to secure reimbursement in line with insurance policies.

• Review patient account balances and provide clear explanations to patients as needed.

• Respond professionally to patient billing inquiries via phone.

• Maintain and meet monthly accounts receivable goals.

• Research, prepare, and issue patient and insurance refunds weekly.

• Post transactions for returned checks and bank fees.

• Update and correct addresses for returned mailings.

• Ensure account accuracy through balancing and corrections.

• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent required; additional education a plus.

• Previous medical billing or medical office experience required.

• Experience with government payers and Anthem strongly preferred.

• Proficiency in Microsoft Excel and Word.

• Strong understanding of accounts receivable processes and insurance reimbursement.

• Excellent organizational skills and attention to detail.

• Strong verbal and written communication skills.

• Ability to handle a high volume of calls while maintaining professionalism.

• Knowledge of collection protocols and compliance laws preferred.

• Positive, team-oriented attitude with excellent interpersonal skills.

Physical Requirements

• Extended periods sitting at a computer workstation.

• Ability to manage frequent interruptions while maintaining productivity.