Medical Billing & AR Specialist — Remote/Onsite

Phothera Phototherapy; Houston (TX); Hybrid; USD 39,000 - 44,000; Full time

Job summary

Phothera Phototherapy, a Madison Industries company, is hiring a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team. This role focuses on AR follow-up, denial reduction, and strategic optimization as the company transitions to a new RCM platform.

You will own follow-up, identify root causes, and help the team work smarter while supporting Medicare, Medicaid, and commercial payers in a fast-growing organization that values initiative and ownership.

Qualifications

• 2+ years of medical billing, AR, reimbursement, or revenue cycle management experience.
• Hands-on experience with professional/physician billing and CMS-1500 claims.
• Ability to identify patterns, inefficiencies, and root causes and drive improvements.

Responsibilities

• Track and resolve unpaid, underpaid, or delayed DME claims.
• Submit and follow up on Medicare, Medicaid, Commercial, and VA claims.
• Interpret EOBs and ERAs and apply payments accurately.
• Research payer policies, LCDs and NCDs, and coverage requirements.
• Validate documentation (CMNs, prescriptions, proof of delivery, prior authorizations).
• Submit appeals when necessary and monitor outcomes.
• Identify systemic issues and recommend process improvements.
• Maintain detailed, compliant documentation within the billing system.

Skills

Initiative & ownership

Analytical thinking

Independent worker

Process improvement

Tools

CMS-1500 claims

Job description

Phothera Phototherapy, a Madison Industries company, is hiring a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team. This role focuses on AR follow-up, denial reduction, and strategic optimization as the company transitions to a new RCM platform.

You will own follow-up, identify root causes, and help the team work smarter while supporting Medicare, Medicaid, and commercial payers in a fast-growing organization that values initiative and ownership.