Medical Billing Specialist
Required Skills & Experience- 2+ years of experience in medical billing, accounts receivable, or revenue cycle operations- Experience posting claims and payments, including working with EOBs and ERAs- Strong familiarity with clearinghouse (any) processes and resolving claim rejections and errors- Knowledge of electronic claim status files (e.g., 277) and claim lifecycle management- Experience working with payor portals and electronic submissions- High attention to detail and ability to reconcile financial data accurately- Ability to follow standard operating procedures for billing corrections, voids, and rebills- Strong organizational skills and ability to manage multiple billing priorities- Comfortable working onsite five days per week in downtown MemphisNice to Have Skills & Experience- Experience in home health or healthcare services billing environments- Experience with Electronic Visit Verification (EVV) systems- Familiarity with payor enrollment for electronic submission and remittance- Experience handling refund requests and recoupment workflows- Exposure to cross‑functional collaboration with finance, operations, or compliance teamsJob DescriptionThe Client is seeking a detail‑oriented Medical Billing Specialist to support end‑to‑end billing and accounts receivable processes. This role is responsible for posting claims, resolving billing errors, reconciling payments, and ensuring timely submission and follow‑up with payors. The ideal candidate has strong experience in medical billing workflows, clearinghouse operations, and payor communications, with a focus on accuracy, compliance, and timely reimbursement.This position requires working onsite, five days per week, in downtown Memphis.Day‑to‑Day ResponsibilitiesPost claims to accounts receivable (A/R) once billing requirements are metReview claims and mark for adjustment as needed to ensure accuracy and complianceResolve clearinghouse errors and ensure timely electronic submission to payorsPrint claims for paper submission and ensure proper mailing and receipt trackingReview electronic claim status reports (e.g., 277 files), update claim statuses in A/R, and resolve rejections or denialsReconcile posted payments against EOBs and ERAs to ensure accuracyDownload EOBs/ERAs from clearinghouses and payor portals; match payments to deposits and prepare for postingEnsure payment processing for prior‑authorized chargesMake claim corrections as needed and follow SOPs for voiding and rebilling claimsEnroll the agency in electronic submission and electronic remittance for active payorsReview mailed and electronic payor correspondence and route appropriately for processingSubmit documentation for refunds when required and follow up with payors through recoupment completionManually create visits in the EVV portal and ensure visits are billed accurately and remain compliantCollaborate with cross‑functional teams to support billing systems, reporting, and collections workflows