Medical Billing Support Specialist
- Provide Tier 1 and Tier 2 support for billing and EHR-related inquiries via phone, email, and ticketing system.
- Troubleshoot and resolve billing discrepancies and assist with claim submissions, payment postings, and patient ledger issues.
- Guide clients through billing workflows and processes within the EHR system.
- Document support cases, resolutions, and follow-up activities thoroughly and accurately.
- Collaborate with internal departments (Product, Development, QA) to resolve complex issues.
- Participate in user acceptance testing and provide feedback for system improvements.
- Deliver onsite and virtual training sessions for new clients or system updates.
- Travel to customer locations for go-live support, training sessions, or implementation assistance as required.
- Stay up to date with healthcare billing regulations, including Medicaid, Medicare, and commercial payers.
- Ability to work within a diverse team environment to develop effective working relationships and to achieve company goals
- Create Knowledge-Based Articles (KBAs) and product-related documentation (Quick Guides)
- Experience submitting claims on Professional form (form 1500) and Institutional form (UBO4) required.
- Experience with medical billing guidelines with governmental and commercial plans
- Experience investigating electronic file formats (270/271 and 276/277) inquiry and response files, and experience using and reading files sets
- Knowledge of medical billing collection policy and operational processes
- Experience in completing EDI/ERA enrollment forms with Payers
- Previous experience with Practice Management/Billing System
- Understanding of 837 and 835 file formats and adjustment codes (preferred)
- Proficient in general ledger charge/payment posting and adjustments.
- Experience working with, and understanding of, Payers and Clearinghouses.
- Previous customer support and online training experience (preferred)
- Proficient in problem-solving and critical thinking for effective issue resolution.
- Comfortable with occasional travel and being onsite as needed for training and support (travel estimated at 10-20%).
- Experience working in a medical practice, public health department or behavioral health agency an asset
- Bachelor's Degree preferred, or equivalent relevant experience
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