Medical Billing Specialist
Insurance Claims, Denials and Revenue Cycle Management
Location: Fargo, ND, in person
Schedule: Full-time
Pay: $22 to $25 per hour, based on experience and qualifications
Benefits: Medical, dental and vision insurance, paid time off, paid holidays, short-term disability and retirement benefits
About the Role
Progress Weight Management is hiring an experienced Medical Billing Specialist to join our team in Fargo.
You will manage medical claims from submission through payment, follow up on denials and rejected claims, verify insurance coverage, post payments and help patients understand their balances and insurance benefits.
This is a good fit for someone who knows medical billing, notices the details others miss and follows issues through until they are resolved. We are looking for someone who can work independently, communicate clearly and stay organized while managing multiple priorities.
What You’ll Do
Prepare, review and submit accurate medical claims to commercial insurance companies, Medicare, Medicaid, Tricare and other payers
Review claims for completeness and accuracy before submission
Monitor unpaid, delayed, denied and rejected claims
Research claim issues, complete follow-up and coordinate appeals when needed
Document claim activity and follow-up in patient account records
Verify insurance eligibility, benefits, authorizations and referral requirements
Confirm coverage limitations and patient financial responsibility
Generate patient statements and assist patients with billing questions, balances and payment options
Explain Explanation of Benefits documents and insurance responsibilities in a clear, professional way
Post insurance payments, patient payments, adjustments and corrections
Reconcile account balances and investigate discrepancies
Maintain accurate billing, payment and account records
Follow HIPAA requirements, payer rules and clinic policies
Stay current on billing regulations, coding updates and reimbursement guidelines
Prepare billing reports and related documentation when requested
Who We’re Looking For
You already understand the basics of medical billing and know that submitting a claim is often only the first step.
You are comfortable researching denials, contacting payers, reviewing account activity and finding the source of a discrepancy. You communicate professionally with patients, coworkers and insurance representatives, even when the answer is not simple.
You take initiative, keep good records and do not need constant reminders to follow up.
Required Qualifications
High school diploma or equivalent
One to three years of medical billing experience in a clinic, hospital or healthcare billing environment
Experience with medical billing software and electronic health record systems
Knowledge of medical terminology and healthcare reimbursement
Familiarity with ICD-10, CPT and HCPCS coding systems
Understanding of Medicare, Medicaid, commercial insurance and coordination of benefits
Strong attention to detail and organization
Clear communication and customer service skills
Ability to prioritize multiple tasks in a busy healthcare setting
Strong computer skills
Ability to handle sensitive information with confidentiality and professionalism
Preferred Qualifications
Certified Professional Biller, Certified Billing and Coding Specialist or a similar credential
How to Apply
Send your resume and a short cover letter explaining your medical billing experience and interest in the position to jobs@progressweight.com.
Applications will be reviewed as they are received. Progress Weight Management is an equal opportunity employer. We welcome applicants without regard to race, color, religion, sex, national origin, age, disability or any other legally protected status.