Insurance and Billing Specialist II- Contractual
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Before you apply
LocationTowson, Maryland
Work modeon-site
Typefull-time
SeniorityMid
Experience3+ yrs
Company size10,000+ people
First seenNov 7, 2026 · 3h ago
Verified live3h ago
At a glanceSummarised by Seekless from the posting.
High School Diploma or GED
Three years accounting clerical experience
General knowledge of bookkeeping principles, mathematical methods and techniques and accounting standards
Skill in performing mathematical computations
Skill in reviewing and processing financial documents
Skill in reconciling financial data
Skill in operating calculators, keyboards, manual and automated office equipment, personal computers and financial software
Skill in inputting data
Ability to communicate effectively
Ability to prepare written records and reports
Ability to establish and maintain effective work relationships
Ability to lead and train others in assigned accounting clerical or bookkeeping work
Ability to perform complex accounting, auditing, billing, and coding procedures within the Revenue Cycle Management unit of the Towson University student health center
Ability to lead and train other staff in proper ICD, CPT, and HCPCS coding to optimize revenue collection
Skilled in reviewing and processing insurance claims and other financial documents and reconciling financial data
Knowledge of HMO, MCO, PPO, commercial insurance plans, and the joint federal-state program (Medicaid)
Familiarity with Out-of-Pocket health care costs including; co-pays, co-insurance and deductibles
Knowledgeable in medical office practices and electronic medical records
Familiarity with HIPAA and FERPA policies and standards specific to preventing data breaches involving PHI, PII, etc.
Excellent customer service skills
Certification as a Professional Coder (CPC), Certified Medical Billing Specialist or a Certified Professional Biller
Skills
Point and Click Solutions
Cognizant-TriZetto
Waystar
Electronic Health Record
Revenue Cycle Management
Labcorp
Quest Diagnostics
HIPAA
FERPA
ICD
CPT
HCPCS
About the company
Towson University (TU) has earned distinction as both a top-100 public university and one of the nation’s great colleges to work for. Located north of Baltimore, TU currently enrolls over 20,000 students and is the second-largest university in the prestigious University System of Maryland. Towson University fosters a climate that is grounded in respect to cultivate the intellectual and personal growth of the entire university community.
About the role
The Insurance and Billing Specialist performs high-level medical billing and insurance duties for a multi-practitioner university student outpatient healthcare facility (including psychiatry services). This role includes complex accounting and auditing procedures involved in medical billing and coding. In addition, this role is responsible for performing a variety of medical insurance and billing financial record keeping tasks, use of an electronic health record platform (Point and Click Solutions), use of a revenue cycle management platform (Cognizant-TriZetto and Waystar), and provision of excellent customer service skills. Experience with insurance, billing and coding in a medical office is essential in the performance of this position.
Responsibilities
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Reviews, leads, and trains on proper ICD, CPT, and HCPCS codes of visits to maximize revenue generation. Execute insurance and billing procedures required by various commercial health insurance plans (including HMO, PPO) and federal-state programs (ex. Maryland Medicaid).
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Identifies and codes ledger accounts for out-of-pocket payments. Verifies insurance coverage. Collect and compile electronic claims and submit claims to insurance companies via Cognizant-TriZetto platform and Waystar.
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Completes claim forms for payments, follow-ups, payer filings, and appeals. Reviews, reconciles, and follows up on lab invoices including Labcorp and Quest Diagnostics. Reconciles payments and balance bills to the appropriate accounts to optimize collections.
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Authorizes charge tickets and generates payments for patient accounts. Compiles data and generates follow-up reports for the Health Center and insurance companies. Completes denial corrections and resolves accounting discrepancies. Performs analysis of financial transactions and bank deposits.
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Utilize electronic health record for updating and retrieving information regarding patient demographics and insurance eligibility from files and databases.
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In conjunction with the Insurance and Billing Supervisor, serves as a staff point person and trainer for billing issues within Point and Click Solutions electronic health record platform. Works within the 3rd party billing and insurance platform (Cognizant-TriZetto and Waystar) to complete Electronic Funds Transfer (EFT) and Automated Clearinghouse (ACH) transactions.
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Corresponds with students and families to assist with insurance and billing related questions and concerns. Assists with legal and insurance medical record responsibilities.
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Assists with staffing events involving the Health Center including student orientations and other outreach programs.
Required Qualifications:
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High School Diploma or GED
•
Three years accounting clerical experience.
General knowledge of bookkeeping principles, mathematical methods and techniques and accounting standards. Skill in performing mathematical computations; in reviewing and processing financial documents; in reconciling financial data; in operating calculators, keyboards, manual and automated office equipment, personal computers and financial software; in inputting data. Ability to communicate effectively; to prepare written records and reports; to establish and maintain effective work relationships; to lead and train others in assigned accounting clerical or bookkeeping work.
Except for qualifications established by law, additional related experience and formal education in which one has gained the knowledge, skills, and abilities required for full performance of the work of the job class may be substituted for the education or experience requirement on a year-for-year basis with 30 college credits being equivalent to one year of experience.
•
Ability to perform complex accounting, auditing, billing, and coding procedures within the Revenue Cycle Management unit of the Towson University student health center.
•
Ability to lead and train other staff in proper ICD, CPT, and HCPCS coding to optimize revenue collection.
•
Skilled in reviewing and processing insurance claims and other financial documents and reconciling financial data.
•
Knowledge of HMO, MCO, PPO, commercial insurance plans, and the joint federal-state program (Medicaid).
•
Familiarity with Out-of-Pocket health care costs including; co-pays, co-insurance and deductibles.
•
Knowledgeable in medical office practices and electronic medical records.
•
Familiarity with HIPAA and FERPA policies and standards specific to preventing data breaches involving PHI, PII, etc.
•
Ability to communicate effectively, establish, and maintain effective work relationships.
•
Excellent customer service skills.
Preferred Qualifications:
•
Certification as a Professional Coder (CPC), Certified Medical Billing Specialist or a Certified Professional Biller.
Benefits
$45,375 annually. This position is contingent on funds being available at time of hire. TU offers a variety of great perks and discounts, which can be found here.
Hiring process
For consideration, please submit a cover letter and resume with your online application. This position will be open for a minimum of 14 days.