Medical Billing Specialist

About DrHouse

DrHouse is a fast-growing telehealth company redefining how people access care. We connect patients with licensed physicians for quick, convenient, and high-quality virtual visits, and we’re expanding rapidly.
We’re looking for a Medical Billing Specialist who is detail-oriented, proactive, and eager to grow within a dynamic healthcare organization. You’ll play a key role in ensuring the accuracy, efficiency, and compliance of our revenue cycle operations. What You’ll Do
Claims Management & Payment Posting

• Monitor and follow up on outstanding insurance claims.
• Submit required documentation for claim processing.
• Communicate with payers to resolve delays or address denied claims.
• Handle insurance-related inquiries promptly and professionally.
• Investigate and resolve rejections, denials, and unpaid accounts; report trends to management.
• Accurately post insurance and patient payments.
• Manage accounts receivable to ensure timely reimbursement.
• Document account activity and maintain thorough, organized notes.
• Navigate multiple billing systems and payer portals efficiently.
• Maintain a solid understanding of revenue cycle metrics and workflows.
• Collaborate with cross-functional teams to meet performance goals.
• Support special projects and assist with other tasks as needed.
• Process credit balances by issuing refunds or adjustments as appropriate.

Compliance & Documentation

• Ensure adherence to federal, state, and internal billing regulations.
• Maintain accurate records in compliance with HIPAA and confidentiality standards.

Collaboration & Continuous Improvement

• Report discrepancies, admission errors, and coding issues to relevant teams.
• Contribute to team initiatives and process improvement efforts.

Preferred Experience

• Minimum 5 years of medical billing experience in the U.S. healthcare market.
• Strong understanding of U.S. insurance payers and reimbursement workflows.
• Familiarity with medical billing software and payer portals.
• Experience with Claim MD or similar platforms is a plus.

What We’re Looking For

• Strong attention to detail and problem-solving skills.
• Excellent communication and follow-up abilities.
• A proactive, organized approach to managing multiple priorities.
• Desire to grow and make an impact in a fast-paced environment.

Originally posted on Himalayas