Medical Billing Specialist

April 7, 2026
Application ends: July 6, 2026

Job Description

REQUIREMENTS

  • Minimum 2+ years of medical billing experience (3–5 years preferred, especially in Physical Therapy)
  • Experience working within a billing service or multi-client environment strongly preferred
  • Proficiency in CPT, ICD-10, and HCPCS coding systems
  • Strong understanding of insurance guidelines, reimbursement processes, and denial management
  • Hands-on experience with EHR systems and billing software
  • Proven ability to manage rejections, denials, and aging accounts
  • Experience communicating directly with healthcare providers or clinic clients
  • Strong analytical, problem-solving, and organizational skills
  • High attention to detail with a commitment to accuracy
  • Ability to work both independently and collaboratively in a remote environment
  • Certified Professional Coder (CPC) or equivalent certification is a plus
  • High School Diploma or equivalent required
  • Certification in Medical Billing and Coding preferred

RESPONSIBILITIES

  • Review medical documentation and assign accurate CPT, ICD-10, and HCPCS codes
  • Prepare, submit, and track electronic and paper insurance claims
  • Monitor and follow up on outstanding claims, denials, and appeals to ensure timely reimbursement
  • Identify and resolve billing discrepancies in collaboration with providers and internal teams
  • Verify patient insurance eligibility and obtain authorizations when required
  • Manage daily billing operations for assigned PT clinic accounts, ensuring accuracy and completeness
  • Oversee claim processing workflows including rejections, denials, payment posting, and patient statements
  • Perform quality assurance checks on billing outputs and correct errors as needed
  • Communicate regularly with clinic clients to address concerns and maintain high satisfaction
  • Act as a liaison between clients and internal billing teams to resolve issues efficiently
  • Partner with onboarding teams to ensure seamless client setup and uninterrupted cash flow
  • Analyze billing reports to identify trends, inefficiencies, and opportunities for improvement
  • Develop and maintain internal SOPs, workflows, and training materials
  • Train and support team members on billing best practices and client communication
  • Stay current on industry regulations, payer requirements, and coding updates
  • Provide feedback and recommendations to leadership and product teams for process improvements

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