MEDICAL BILLING DATA ENTRY SPECIALIST

About the Role
We are a growing medical billing organization focused on streamlining healthcare revenue cycle management for medical practices. By leveraging modern technology, the team delivers accurate and efficient billing solutions that allow healthcare providers to focus on patient care.

Position Summary
Seeking a detail-oriented Medical Billing Data Entry Specialist with 2–3 years of hands-on experience in medical billing processes, insurance claim processing, and healthcare billing software. This role is critical in ensuring accurate data entry, timely claim submissions, and effective revenue cycle optimization.

Key Responsibilities

• Enter patient demographic and insurance information into billing systems with high accuracy

• Process insurance claims through payer portals and clearinghouses

• Review and verify medical coding (CPT, ICD-10, HCPCS) for accuracy and completeness

• Follow up on denied, rejected, or pending insurance claims

• Post payments and adjustments to patient accounts

• Generate and review aging reports and identify collection opportunities

• Communicate with insurance companies via phone and online portals to resolve claim issues

• Maintain compliance with HIPAA regulations and data security protocols

• Assist with patient billing inquiries and payment posting

• Support month-end reporting and reconciliation processes

Required Qualifications

• Minimum of 2 years experience in medical billing or healthcare data entry

• Proficiency with medical billing software (Claimtek preferred; Cerner, NextGen, or similar EMR/PM systems acceptable)

• Experience working with major U.S. insurance carriers (Medicare, Medicaid, commercial payers)

• Strong knowledge of medical terminology and billing procedures

• Familiarity with CPT and ICD-10 coding systems

• Experience with insurance claim submission and follow-up

• Proficiency in Microsoft Office, particularly Excel

• Excellent attention to detail with a strong focus on data accuracy and quality control

• Strong organizational and time management skills

• Ability to work independently and meet daily productivity targets

Preferred Qualifications

• Experience with clearinghouses (e.g., Change Healthcare, Availity)

• Knowledge of revenue cycle management best practices

• Background in a startup or fast-paced environment

• Prior experience in medical billing data entry