Role : Insurance Billing Specialist
Location : Thibodaux, LA (On-Site)
Contract: Full Time role
Position Summary
Client is seeking a detail-oriented Insurance Billing Specialist to join our Revenue Cycle team. This role will focus on accounts receivable (A/R) analysis, accurate claim submission, and insurance payment posting.
The ideal candidate has strong analytical skills, thrives in a fast-paced environment, and has prior experience with medical billing systems and payer processes.
Key Responsibilities
Claim Submission & Management
Prepare and submit clean electronic and paper claims to insurance payers.
Verify claim accuracy, ensuring correct patient demographics, CPT/ICD coding, and insurance information.
Monitor claim rejections and denials, correcting and resubmitting as needed.
Accounts Receivable (A/R) Analysis
Perform daily, weekly, and monthly A/R reviews to identify aging trends, underpayments, and outstanding balances.
Research and resolve claim delays, denials, and appeals with insurance payers.
Generate A/R reports to track performance, identify bottlenecks, and recommend process
improvements.
Collaborate with the Revenue Cycle team to meet collection targets and reduce days in A/R.
Insurance Payment Posting
Accurately post insurance payments, adjustments, and denials into the billing system.
Reconcile deposits, remittance advices (ERA/EOB), and resolve posting discrepancies.
Ensure payments align with payer contracts and fee schedules.
Compliance & Collaboration
Stay up-to-date with payer requirements, Medicare/Medicaid regulations, and billing compliance guidelines.
Work with pre-billing staff, coders, and RCM leadership to improve first-pass acceptance rates.
Assist in training materials and workflow documentation for continuous staff education.
Qualifications
3+ years of experience in medical billing, A/R follow-up, or payment posting (laboratory or diagnostic billing preferred).
Strong knowledge of CPT, ICD-10, HCPCS codes, and insurance billing regulations.
Proficiency with [insert system, e.g., CollaborateMD, Epic, Kareo, etc.].
Ability to analyze A/R data, identify trends, and recommend solutions.
Excellent organizational skills and attention to detail.
Strong communication and problem-solving abilities.
Preferred
Experience with laboratory billing processes and payer-specific requirements.
Familiarity with denial management and appeals processes.
Strong Excel and reporting skills.
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