Billing Specialist – Healthcare

Billing Specialist – Healthcare


The Billing Specialist is expected to have a general knowledge of medical billing and follow-up procedures including: ensuring proper submission of all claims while meeting required billing deadlines, consistently following up on unpaid claims utilizing assigned tasks or aging reports, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with providers, clients, patients and fellow staff.

Principal Job Responsibilities:
• Ensures all claims are submitted with a goal of zero errors
• Verifies completeness and accuracy of all claims prior to submission
• Researches rejected and denied claims; reconciles with original claim; makes any necessary corrections; resubmits corrected claims, or submits appeals for reconsideration, as appropriate to the situation
• Makes necessary arrangements for medical records requests, completes additional information requests, etc., as requested by insurance companies
• Follows up with all insurance carriers on unpaid claims until the claims are paid and have reached a zero balance
• Prepares, reviews and sends patient statements for service amounts such as co-payments, deductibles and coinsurance
• Evaluates patient’s financial status and establishes budget payment plans; processes accounts to collections for non-payment, as required; follows up and reports status of delinquent accounts
• Communicates effectively with providers and patients regarding claims/billing questions or complaints
• Maintains goodwill with both patients and insurance companies; responds in a timely manner and ensures all issues are resolved according to established guidelines and required laws and regulations
• Regularly meet with Director to discuss and resolve reimbursement issues or billing obstacles
• Completes work with excellent attention to detail to ensure compliance with departmental/company/HIPAA standards
• Maintains strict confidentiality of information at all times
• Performs other duties as assigned

• High school diploma or equivalent
• Minimum 2 years of experience in healthcare billing
• Excellent attention to detail, problem solving and critical thinking
• Must have a team player mindset with adaptability to monitor own work
• High degree of professionalism and customer service
• Excellent written and oral communication skills
• Working knowledge of Microsoft Word and Excel

Required Experience:
• Medical Billing Experience – REQUIRED: 2 years
• Microsoft Excel – REQUIRED: 2 years


  • Ten (10) years HIM, Business Office or related Revenue Cycle experience in a Healthcare related field.
  • Six (6) years of management experience.
  • Bachelor’s Degree in Business Administration or a health related field preferred.
  • Knowledge of Medicare, Medicaid, State and Federal guidelines.
  • Knowledge of standard medical billing system configuration.

You may submit your resume by:


Trilogy Healthcare Solutions
911 Flynt Drive
Flowood, Mississippi 39232-9572

Human Resources Fax:

Equal Employment Opportunity – EOE/AA/VETERANS/DISABLED
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the organization complies with all applicable federal, state and local laws governing nondiscrimination in employment.

Equal Employment Opportunity is the law. Find out more from the Department of Labor.

Interested in what Trilogy can do for your facility?