A medical billing specialist is a professional who is responsible for preparing and submitting medical billing claims to insurance payers. They are responsible for ensuring that claims are accurate and complete, and that they meet all requirements for payment. Medical billing specialists may also be responsible for following up on unpaid or denied claims, resolving billing disputes, and providing customer service to patients.
Medical billing specialists typically need to have a strong understanding of medical terminology, coding systems, and insurance billing practices. They may also need to be familiar with healthcare laws and regulations, and with the policies of different insurance payers. Many medical billing specialists have a postsecondary certificate or associate’s degree in medical billing and coding.
Medical billing specialists may work in a variety of settings, including hospitals, clinics, and medical billing companies. They may work full-time or part-time, and their hours may vary depending on the needs of their employer.
