Medical Billing Specialist – Job Overview
Revenue Cycle Management | Hybrid | Las Vegas, NV
Medical Billing Specialist Position Summary
We are seeking a detail-oriented and organized Medical Billing Specialist to join our Revenue Cycle Management team. This hybrid position supports multiple physician billing service lines by managing specialized billing functions, insurance correspondence, refund processing, and print/mail operations. The ideal candidate is experienced in physician medical billing, thrives in a fast-paced environment, and is committed to maintaining accuracy and timely completion of critical billing tasks.
Medical Billing Specialist Essential Responsibilities:
Refund Processing
- Print monthly insurance refund checks and supporting documentation.
- Compile refund registers and submit completed packets for approval and processing.
- Ensure all month-end refund activities are completed accurately and within established timelines.
Print & Mail Operations
- Print insurance claims requiring provider signatures for submission to various payers.
- Prepare claims and supporting documentation for mailing.
- Support all physician billing teams with print and mail requests across multiple service lines.
MailStream Administration
- Upload billing documents into MailStream for electronic processing.
- Review MailStream log sheets daily to identify missing or incomplete uploads.
- Troubleshoot upload issues and ensure all documents are processed accurately and on time.
Insurance Appeals & Correspondence
- Prepare and process Medi-Cal 90-1 appeal letters and other payer correspondence as assigned.
- Maintain organized documentation to support appeals and claim follow-up activities.
Special Projects
- Assist with Maddy Fund processing and other reimbursement-related tasks.
- Support department initiatives and cross-functional projects as needed.
- Provide backup support for additional billing operations during periods of high volume or staff absences.
Medical Billing Specialist Qualifications:
Required
- High school diploma or equivalent.
- Minimum of 2 years of medical billing experience, preferably in physician or professional fee billing.
- Working knowledge of medical billing processes, insurance claim submission, and reimbursement workflows.
- Experience with CMS-1500 (HCFA) claim forms.
- Proficiency with Microsoft Office, particularly Excel, Outlook, and Word.
- Strong organizational skills with exceptional attention to detail.
- Ability to prioritize multiple tasks while meeting deadlines.
- Excellent written and verbal communication skills.
- Ability to work independently and collaboratively in a hybrid work environment.
Preferred
- Experience with emergency medicine, hospitalist, anesthesia, or critical care physician billing.
- Experience processing Medi-Cal claims and appeals.
- Familiarity with MailStream or similar print and mail management systems.
- Knowledge of payer requirements, including provider signature requirements for claim submission.
- Experience working with electronic medical billing and practice management systems.
Knowledge, Skills & Abilities
- Strong analytical and problem-solving skills.
- Ability to maintain confidentiality of patient and financial information.
- Excellent time management and follow-through.
- Commitment to accuracy and quality in all work performed.
- Ability to adapt to changing priorities in a fast-paced healthcare environment.
Medical Billing Specialist Work Environment:
- Hybrid position based in Las Vegas, NV.
- Combination of in-office and remote work, based on business needs.
- Standard business hours with occasional additional time required to meet month-end deadlines.
Experience:
- Medical billing: 1 year (Required)
Location:
- Las Vegas, NV 89119 (Preferred)
Work Location: Hybrid remote in Las Vegas, NV 89119
