Billing Specialist - Texas

Pediatrics Plus Website; Prosper (TX); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive Pay

Paid Time Off

Medical, Dental, & Vision Insurance

State of the Art Facilities & Tech

Job summary

Pediatrics Plus in Texas is seeking a Billing Specialist to manage Medicaid, insurance, and private pay billing. You will ensure accurate claims, respond to providers and families, and maintain HIPAA-compliant records while supporting a patient-centered care environment.

Join a team committed to empowering children with state-of-the-art facilities and strong benefits, including medical coverage and time off. High school diploma and 2+ years billing experience preferred.

Qualifications

• High school diploma required; bachelor’s preferred.
• 2+ years of medical billing experience preferred.

Responsibilities

• Provides customer service and is responsible for all billing aspects including Medicaid, insurance, private pay billing and accounts receivable.
• Processes and bills insurance claims.
• Handles medical record requests from insurance companies.
• Reconciles payments received to payments posted in system.
• Provides excellent customer service over the phone to families and team members.
• Explains insurance billing scenarios to families and team members.
• Solves inconsistencies with insurance billing.
• Works well in a team environment.
• Processes and reconciles insurance paper checks weekly.
• Calls insurance companies to obtain/maintain pre-certification for patient therapies.
• Enters and updates data within deTASO.
• Participates in one-on-one meetings with leader.
• Responds positively to feedback concerning job performance.
• Communicates any needs or concerns with leadership.
• Maintains confidentiality and patient privacy to HIPAA standards.
• Upholds and incorporates the core values, mission, and philosophy of Pediatrics Plus into all job responsibilities.
• Displays an understanding of the leadership style of Pediatrics Plus.
• May perform other related and non-related duties, as assigned.

Skills

Billing accuracy

Customer service

Communication skills

HIPAA privacy

Data entry

Education

High School Diploma or equivalent

Bachelor’s degree preferred

Tools

deTASO

Billing software

MS Office

Job description

Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? At Pediatrics Plus, we work to empower children to conquer their world. Pediatrics Plus is a specialized pediatric healthcare provider. We are committed to helping children succeed in all stages of life through evidence-based therapy and education, diagnostic services, state-of-the-art facilities, specialized equipment, family support, and community investment. We are looking for a Billing Specialist to join our team of highly qualified professionals that share our vision of Empowering Children to Conquer their World!

What we offer:

• Competitive Pay
• Paid Time Off
• Medical, Dental, & Vision Insurance
• State of the Art Facilities & Technology

What you will do

:

The Billing Specialist provides customer service and is responsible for all billing aspects associated with Pediatrics Plus insurance billing including Medicaid billing, insurance billing, private pay billing, and insurance accounts receivable.

• Processes and bills insurance claims.
• Handles medical record requests from insurance companies.
• Reconciles payments received to payments posted in system.
• Provide excellent customer service over the phone to families and team members.
• Explains insurance billing scenarios to families and team members.
• Problem solves any inconsistencies with insurance billing.
• Works well in a team environment.
• Processes and reconciles insurance paper checks weekly.
• Calls insurance companies to obtain/maintain pre-certification for patient therapies.
• Enters and updates data within deTASO.
• Participates in one-on-one meetings with leader.
• Responds positively to feedback concerning job performance.
• Communicates any needs or concerns with leadership.
• Maintains confidentiality and patient privacy to HIPAA standards.
• Upholds and incorporates the core values, mission, and philosophy of Pediatrics Plus into all job responsibilities.
• Displays an understanding of the leadership style of Pediatrics Plus.
• May perform other related and non-related duties, as assigned.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/ Certification:

• High School Diploma or equivalent.
• Bachelor’s degree, preferred.
• 2+ years of experience in medical billing, preferably in a healthcare or medical office setting, required.

Skills/ Abilities:

• Ability to communicate effectively and professionally with a wide variety of people.
• Strong organizational skills with attention to detail and accuracy.
• Computer skills which include a working knowledge of keyboarding, database, word processing, spreadsheet, and Internet software.
• Ability to handle multiple tasks in a very busy environment.
• Ability to read and interpret documents such as safety rules, policies, and other company documents.
• Ability to author routine reports and correspondence.
• Ability to speak effectively before groups of families or team members of the company.
• Ability to add, subtract, multiply, divide, in all units of measure using whole numbers, common fractions, and decimals.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Reports for work dressed appropriately and complies with company policies regarding the dress code.
• Ability to maintain regular and punctual attendance.
• Ability to complete tasks in a timely manner.

Physical Demands:

While performing the duties of this job, the team member is frequently required to accurately communicate information and ideas so others will understand through sight and hearing. The team member is regularly required to move including walking, running, jumping, and sitting. The team member is regularly required to use hands and fingers to handle, lift, reach, and feel. The team member is frequently required to stand and stoop, twist, bend, kneel, crouch, or crawl. The team member must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include near and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.If the team member is working at a Farm location, they must be comfortable around standard farm animals, including minimal allergies to touching, smelling, feeding, and engaging with animals.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.