Medical Billing Specialist | US HMO | Get a 21K Signing Bonus

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Account specific roles & responsibilities:

• Manage the end-to-end medical billing process, including claim preparation, submission, tracking, and follow-up.
• Review patient information, billing records, and supporting documentation to ensure claims are accurate and complete.
• Submit medical claims to HMOs, insurance providers, and other relevant payers in accordance with established guidelines.
• Monitor claim statuses and conduct timely follow-ups on pending, delayed, rejected, or denied claims.
• Investigate claim denials, identify root causes, and coordinate necessary corrections, resubmissions, or appeals.
• Perform cash posting and accurately record payments, adjustments, and other billing transactions.
• Reconcile payments against submitted claims and investigate discrepancies or underpayments.
• Maintain accurate and organized billing records and documentati