Billing Specialist

Pediatric Health Choice, Inc.; Houston (TX); Remote; USD 40,000 - 55,000; Full time

Job summary

Pediatric Home Service is seeking a full-time Medical Billing Specialist dedicated to ensuring high-quality care for pediatric clients. This remote role involves creating insurance claims, resolving billing inquiries, and collaborating with patients and insurance companies. Join a supportive team that positively impacts children's health and well-being.

Benefits

Generous Paid Time Off (PTO)

401(k) Matching

Tuition Reimbursement

Professional Development Opportunities

Qualifications

• Previous medical billing experience preferred.
• Knowledge of medical coding is a plus.
• Bright tree experience preferred.

Responsibilities

• Create and send insurance claims and patient statements.
• Analyze partial payments and denials from insurance companies.
• Contact patients regarding outstanding balances and establish payment plans.

Skills

Communication

Attention to Detail

Problem Solving

Technical Skills

Tools

Microsoft Excel

Job description

Pediatric Home Service is a friendly and professional leader in home health care with a singular passion for and commitment to taking care of the child. As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place to work. We are looking for a full-time Medical Billing Specialist to join our customer-focused, supportive billing team.

• Position: Medical Billing Specialist
• Location: Houston, TX
• Hours: Monday-Friday, 8a-5p
  • Fully remote

THE POSITION:

• Create and send insurance claims and patient statements.
• Rebill insurance companies and third parties to secure payments.
• Analyze partial payments and denials from insurance companies for resolution.
• Verify entries made by cashiers, making necessary corrections.
• Contact patients regarding outstanding balances and establish payment plans.
• Send delinquent accounts to collection agencies as needed.
• Process insurance payments in our computerized billing system.
• Train personnel on the computerized billing system as required.
• Respond to billing inquiries from patients and insurance companies.
• Make recommendations to management regarding write-offs and adjustments.
• Conduct confirmations and quality assurance reviews; develop corrective actions for approval.

REQUIREMENTS:

• Strong communication and interpersonal skills
• High attention to detail and demonstrated initiative
• Ability to problem solve and work independently
• Technical skills, including experience with Microsoft Excel
• Previous medical billing experience preferred
• Bright tree experience preferred
• Knowledge of medical coding is a plus.

THE COMPANY:

Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile since 1990. Our services allow our clients to remain and thrive in their homes, schools, and communities. The majority of the clients we serve are age’s birth through 21 years old and have a variety of technologies that might include a trach, ventilator or g-tube.

BENEFITS:

• Generous Paid Time Off (PTO) for full time employees to ensure a healthy work-life balance
• 401(k) Matching to help secure your future
• Tuition Reimbursement to support your educational and professional growth
• Professional Development & Learning Opportunities to expand your skills and knowledge in pediatric care
• A supportive and fulfilling work environment where your contributions directly impact children’s health and well-being

We look forward to learning more about you & the skills you can bring to Pediatric Home Service!

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.