Medical Billing Specialist

Pediatricz Now Primary Care PLLC; Corpus Christi (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Pediatricz Now Primary Care PLLC is seeking a Billing Specialist to ensure accurate and timely billing processes. You will generate and submit claims, process payments, and maintain financial records while collaborating with internal teams and payors to resolve discrepancies.

The role requires 1–3 years of medical billing experience, proficiency with billing software and Excel, and strong attention to detail. In-person position in Corpus Christi, TX.

Qualifications

• Knowledge of regulatory requirements and compliance standards related to billing.
• Background in customer service or account management to enhance client interactions.
• Certification in billing or accounting is a plus.
• Ability to analyze billing trends and contribute to process improvements.
• Work experience: 1 to 3 years of medical billing experience.
• High school diploma or equivalent.
• Proven experience in billing, claims and accounts receivable roles.
• Proficiency with billing software and Microsoft Office applications, especially Excel.
• Strong attention to detail and accuracy in handling financial data.
• Excellent communication skills to interact effectively with customers and internal teams.
• Bilingual and Pediatric Billing experience preferred.

Responsibilities

• Review billing data for accuracy and completeness, identifying and resolving discrepancies promptly.
• Process incoming payments and apply them to accounts in the billing system.
• Communicate with clients and internal teams to address billing questions, disputes, and adjustments.
• Maintain organized billing records and generate regular reports to support financial audits and management review.
• Processing initial and re-credentialing applications packets.
• Maintain Provider Profiles and monitor expiration dates.

Skills

Regulatory compliance knowledge

Customer service

Billing/Accounts receivable

Billing trend analysis

Attention to detail

Communication

Bilingual (preferred)

Pediatric billing experience (pref.)

Education

High school diploma or equivalent

Certified Professional Billing Specialist (CPBS)

Tools

Billing software

Microsoft Excel

Job description

Job Description

Job Description

About the Role:

The Billing Specialist plays a critical role in ensuring the accuracy and timeliness of the organization's billing processes. This position is responsible for generating submitting claims, ERA'S, processing payments, and maintaining detailed financial records to support revenue collection. A medical biller acts as the crucial link between healthcare providers, patients and insurance companies to ensure healthcare services are properly reimbursed. The role requires close collaboration with internal departments such as, customer service, and reaching out to payors to resolve billing discrepancies and answer client inquiries. The Billing Specialist contributes to the financial health of the company by ensuring that all billing activities comply with company policies and regulatory requirements. Ultimately, this role supports the organization’s billing and customer satisfaction by managing billing operations efficiently and accurately.

Preferred Qualifications:

• Knowledge of relevant regulatory requirements and compliance standards related to billing.


• Background in customer service or account management to enhance client interactions.


• Certification in billing or accounting (e.g., Certified Professional Billing Specialist) is a plus.


• Ability to analyze billing trends and contribute to process improvements.


• Work experience: 1 to 3 years of medical billing experience.


• High school diploma or equivalent.


• Proven experience in billing, claims and accounts receivable roles.


• Proficiency with billing software and Microsoft Office applications, especially Excel.


• Strong attention to detail and accuracy in handling financial data.


• Excellent communication skills to interact effectively with customers and internal teams.


• Bilingual and Pediatric Billing experience preferred.

Responsibilities:

• Review billing data for accuracy and completeness, identifying and resolving discrepancies promptly.


• Process incoming payments and apply them to accounts in the billing system.


• Communicate with clients and internal teams to address billing questions, disputes, and adjustments.


• Maintain organized billing records and generate regular reports to support financial audits and management review.


• Processing initial and re-credentialing applications packets.


• Maintain Provider Profiles and monitor expiration dates.etc

Skills:

The Billing Specialist uses strong analytical skills daily to verify billing information and ensure accuracy in processing billing. Attention to detail is critical when reviewing contracts and payment records to prevent errors that could impact revenue. Communication skills are essential for resolving customer inquiries and collaborating with internal departments to address billing issues. Proficiency with billing software and Excel enables efficient data entry, report generation, and payment processing. Additionally, problem-solving skills help the specialist identify discrepancies and implement solutions that improve billing workflows and customer satisfaction.

Location Address: 5726 Spohn Dr. Corpus Christi, TX 78414

Office Hours: Monday-Friday: 8am-5pm

IN-PERSON position, NOT Remote.