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Medical Billing/Coding Specialist

Henderson Health CareHenderson, Nebraska

Full-Time
Billing, Medical, Full Time

Posted Nov 3, 2026Apply by Nov 30, 2026

The Medical Billing/Coding Specialist is responsible for the accurate and timely processing of medical claims, including submission, follow-up, and resolution of denied or rejected claims. This role involves charge posting, reconciliation, maintaining patient financial records, and ensuring compliance with billing regulations and payer requirements. The specialist serves as a key liaison between providers, patients, and third-party payers.

Responsibilities

BILLING AND CLAIMS MANAGEMENT 

· Ensure accurate and efficient processing of medical claims for submission to patients and third-party payers. 

· Review and verify medical record documentation to support compliant billing practices. 

· Submit claims electronically or manually, and follow up promptly on denied or rejected claims to resolve issues. 

· Maintain knowledge of current medical billing practices, CPT/ICD coding, and billing compliance requirements. 

· Post charges, perform account reconciliations, and support monthly audit and close-out procedures. 

· Monitor aged accounts receivable and perform follow-up on unpaid claims in accordance with organizational policies. 

· Research and resolve any billing discrepancies or delays in payment, including insurance underpayments and denials. 

· Process adjustments, corrections, and refunds in alignment with policy and payer guidelines. 

· Maintain the integrity and accuracy of patient financial files in the billing system. 

INSURANCE COORDINATION AND REIMBURSEMENT 

· Coordinate with insurance carriers to ensure proper billing and reimbursement. 

· Review and interpret payer contracts and per diem agreements to ensure accurate payments. 

· Stay up to date with changes in payer regulations, reimbursement policies, and federal/state billing requirements. 

· Ensure compliance with Medicare and other regulatory billing standards. 

· Respond to inquiries from insurance companies, patients, and providers regarding account status and billing questions. 

QUALITY AND COMPLIANCE 

· Participate in internal audits and monthly close processes to ensure billing accuracy. 

· Examine work for accuracy, completeness, and compliance with established policies and procedures. 

· Maintain confidentiality of all patient and organizational information in accordance with HIPAA and internal policies. 

· Support quality improvement initiatives and assist with departmental reporting and monitoring activities. 

· Contribute to the training and orientation of new employees as assigned.