Medical Billing Support Specialist
Position Overview:
We are seeking an experienced Medical Billing Support Specialist to support a specialty medical practice with experience in medical billing. This role also requires hands-on familiarity with non-traditional payers- auto, worker’s compensation insurances, attorney involvement, and payer-specific billing workflows.
This can be an entry-level billing role.
Key ResponsibilitiesBilling & Claims Support:
- Support billing workflows for: Medical Insurance Billing; Workers’ Compensation; Auto Accident / PIP / MVA; Attorney-represented medico-legal cases
- Prepare, submit, and track claims using eClinicalWorks
- Assist with charge entry, claim follow-up, and payment posting
- Monitor claim status and resolve rejections or delays
- Support appeals, resubmissions, and documentation requests
Insurance, Medico-Legal & Payer Coordination:
- Communicate with: Insurance companies, Insurance adjusters; Third-party administrators (TPAs); Paralegals and Attorneys
- Track authorizations, lien status, and case-specific requirements
- Maintain accurate case notes and payer-specific billing documentation
- Assist with record requests, billing statements, and itemized invoices
Must-Have Qualifications (Required):
- Prior experience in medical billing or billing support
- Hands-on experience with: Workers’ Compensation billing; Auto accident / PIP / MVA billing; Attorney-involved medico-legal cases
- Working knowledge of eClinicalWorks
- Understanding of payer-specific billing rules and workflows
- Strong attention to detail and follow-through
- Professional communication skills (written and verbal)
- Strong computer and EMR software learning and navigation skills
Nice-to-Have Qualifications:
- Experience in pain management, orthopedics, neurology, or surgical practices
- Familiarity with: Liens and letters of protection (LOPs); Delaware-specific WC or PIP billing nuances
- Prior experience working in a physician's office setting
Work Environment:
- Specialty outpatient medical practice
- Heavy documentation-heavy billing environment
- Close collaboration with clinical, administrative, and billing
This Role Is:
- Preferably Not remote
- Not suitable for candidates without experience
- For someone living in DE or the nearby vicinity