[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-258918-105":53,"doc-detail-258918-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","medical-billing-specialist-job-description","Medical Billing Specialist - Job Description","","Medical Billing Specialist responsibilities focus on accurate patient information management, claim submission to third-party payers, and ensuring timely reimbursement for medical services. The role includes daily review of ready-to-bill claims, correcting rejected or suspended claims, rebilling when needed, and maintaining confidentiality under HIPAA. It also tracks delinquent accounts, posts payments to the correct RPMS balances, prepares monthly patient statements and reporting on denials, and supports problem resolution with insurance partners while following established policies and procedures.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":21,"@type":70,"position":76},"https://docshare.wps.com/template/invoices/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/medical-billing-specialist-job-description/258918/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/medical-billing-specialist-job-description/258918.png","ImageObject",442,249,{"name":88,"@type":89},"Tawan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-16","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What are the core duties of a Medical Billing Specialist?","Question",{"text":108,"@type":109},"The specialist manages and transfers patient information, submits insurance claims, ensures timely payment, and rebills or corrects accounts when necessary.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does the role handle rejected or suspended claims?",{"text":113,"@type":109},"It performs error correction for rejected or suspended claims previously submitted to third-party payers, intermediaries, and patients.",{"name":115,"@type":106,"acceptedAnswer":116},"What qualifications are required for this position?",{"text":117,"@type":109},"A high school diploma or equivalent GED is required, along with one year of medical office experience; two years of medical billing experience and knowledge of ICD-10-CM and CPT/HCPCS are preferred.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},258918,1790507144,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":20,"category_name":21,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73},2336475104042,"https://ap-avatar.wpscdn.com/avatar/22000c4c32af1715be0?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786537525561427321","Medical Billing Specialist   \nJob Title: Medical Billing Specialist  \nDepartment: Billing  \nReports To: Medical Billing Manager  \nSalary Level: $37,232 .00- $50,440 .00 DOE  \nFLSA Status: Non-Exempt  \nApproved By: Revenue Cycle Manager  \nApproved Date: August 30, 2022  \nGENERAL SUMMARY OF DUTIES:  \nThe Medical Billing Specialist serves as a liaison between health care providers, patients, and insurance companies. Their primary responsibilities include managing and transferring patient information, submitting claims to insurance companies, and ensuring timely payment for medical services. This role also involves rebilling or correcting previously submitted accounts when necessary. Additionally, the specialist must maintain the confidentiality of patient information and follow up with insurance providers to address any delays or issues with non-payment.  \nESSENTIAL FUNCTIONS:  \n1. Reviews the Brief Claims Listing (BRRP) report daily to identify claims ready for billing.  \n2. Ensures that all patient information is accurate and complete and request any missing patient information.  \n3. Prepares and submits claims to third party payers, intermediaries and responsible parties according to established KMC policy and procedures.  \n4. Reviews and follows-up on delinquent patient account records via telephone and correspondence according to KMC policy and procedures.  \n5. Performs error correction for all rejected/suspended claims previously submitted to third party payers, intermediaries, and patients.  \n6. Prepares and processes mail log ofall payments received.  \n7. Posts insurance and patient payment to appropriate account in RPMS. Ensures all payments received are matched to appropriate balance on encounters.  \n8. Prepares and sends patient statements monthly.  \n9. Addresses inquiries in a courteous manner regarding patient accounts, statements, insurance billing, etc.  \n10. Reviews and submits monthly reports on rejected/denied claims including reason(s) .  \n11. Maintains knowledge by reading all third-party newsletters and updated circulated by management. Attends all continuing education opportunities made available.  \n12. Maintains regular and recurring contact with employees of the clinic, local/state agencies, third party payers and Medicare and Medicaid fiscal intermediaries. Assists with claims submission and resolution of problems pertaining to billing of claims in order to resolve issues for any returned claims for services rendered to Indian Beneficiaries and Non-Beneficiaries alike.  \n13. Adheres to all HIPAA guidelines/regulations.  \n14. Identifies and helps resolve patient billing complaints.  \n15. Maintains files accurately and efficiently.  \n16. Attends staff meetings and other meetings as assigned.  \nSUPERVISORY RESPONSIBILITIES:  \nThis job has no supervisory responsibilities.  \nQUALIFICATIONS:  \nTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  \nEDUCATION:  \n High school diploma or equivalent General Educational Development (GED) certificate required.  \nEXPERIENCE:  \n One (1) year of medical office setting experience required.  \n Two (2) years of medical billing experience preferred.  \n Knowledge of ICD-10-CM and CPT/HCPCS coding terms preferred.  \n Knowledge of third-party claims submission processes preferred.  \nCERTIFICATES, LICENSES, REGISTRATIONS:  \n Current CPR Certificate or be able to obtain one within six (6) months of employment.  \n Valid California Driver’s License  \n Current typing certificate at a minimum 40 words per minute (wpm) .  \n Current 10-key typing certificate at a minimum 6,000 keystrokes per hour (kpm) .  \nJOB SPECIFIC SKILLS & ABILITIES:  \n Must have the ability to enter a minimum of 80 claims per eight (8) hour day.  \n M","cbCaibuwX5dJqpwm","https://ap.wps.com/l/cbCaibuwX5dJqpwm","pdf",11582,"English","# General Summary of Duties\n## Essential Functions\n## Supervisory Responsibilities\n## Qualifications\n## Confidentiality\n## Conditions of Employment\n## Physical Demands","[{\"question\":\"What are the core duties of a Medical Billing Specialist?\",\"answer\":\"The specialist manages and transfers patient information, submits insurance claims, ensures timely payment, and rebills or corrects accounts when necessary.\"},{\"question\":\"How does the role handle rejected or suspended claims?\",\"answer\":\"It performs error correction for rejected or suspended claims previously submitted to third-party payers, intermediaries, and patients.\"},{\"question\":\"What qualifications are required for this position?\",\"answer\":\"A high school diploma or equivalent GED is required, along with one year of medical office experience; two years of medical billing experience and knowledge of ICD-10-CM and CPT/HCPCS are preferred.\"}]","Medical Billing Specialist - Job Description | PDF",1789327888]