Billing Specialist - COA
This position is no longer accepting applications (closed Oct 28, 2026).
Summary
Processes medical claims, verifies insurance eligibility, and resolves billing issues for a tribal healthcare provider.
Job Summary:
The Medical Billing Specialist is responsible for managing patient billing and claims processing to ensure timely reimbursement for medical services. This role involves preparing and submitting claims to insurance companies, reviewing accounts for accuracy, following up on unpaid claims, and working with patients on billing inquiries.
Job Duties:
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Prepare and submit accurate insurance claims using electronic billing software.
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Review and verify patient billing information for accuracy and completeness.
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Post insurance and patient payments, adjustments, and denials.
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Monitor unpaid claims and follow up with insurance companies to ensure timely payment.
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Resolve billing issues with insurance companies, patients, and internal staff.
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Verify insurance eligibility and benefits when necessary.
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Respond to patient inquiries regarding billing and insurance coverage.
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Maintain confidentiality and security of patient data in compliance with HIPAA regulations.
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Generate monthly billing reports and assist with financial audits.
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Collaborate with coding staff to ensure correct CPT, ICD-10, and HCPCS coding for claims.