**Summary**

The Medical Billing Specialist is responsible for managing third-party billing and collections activities to ensure the timely and accurate submission, processing, and resolution of medical and pharmacy claims. This role reviews and bills medical and NCPDP claims, identifies and resolves claim rejections and billing discrepancies, and works to maximize reimbursement. The ideal candidate has experience with home infusion billing, payer reimbursement guidelines, and medical billing practices, along with strong analytical, communication, and problem-solving skills. Attention to detail, the ability to work independently, and proficiency with Microsoft 365 are essential.

**Essential Duties & Responsibilities**

+ Manage third-party billing and collections activities.
+ Ensure the timely and accurate submission of claims.
+ Meet quality assurance standards, productivity goals, and performance benchmarks.
+ Identify and update patient and insuran...