Billing Specialist I - Internal Medicine - Loop Clinic

Job description

Job Summary The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. As a Billing Specialist at Longview Regional Medical Group you’ll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Essential Functions: - Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. - Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. - Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. - Monitors and resolves claim denials and rejec...