Medical Billing Specialist
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
Are you interested in this position?
Apply by clicking on the “Apply Now” button below!
#CrossChannelJobs #JobSearch
#CareerOpportunities #HiringNow
#Employment #JobOpenings
#JobSeekers
#FacebookLinkedIn