Medical Billing Specialist

Valora Medical Group; Irving (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

Valora Medical Group is seeking a Billing Specialist to ensure accurate patient accounts and timely claim processing. The role requires handling denials, appeals, and aging reports with courtesy and professionalism.

Ideal candidates will have bilingual English/Spanish skills, primary care billing experience, and proficiency with E-Clinical Works (eCW) and Excel. Strong attention to detail and communication are essential for success.

Qualifications

• High School Diploma or equivalent required.
• Primary Care billing experience required.
• Bilingual English/Spanish is highly preferred.
• Experience with E-Clinical Works (eCW) strongly preferred.
• Knowledge of ICD-10 and CPT coding required.
• Intermediate Excel skills.

Responsibilities

• Work outstanding claims, denials, appeals and aging reports.
• Collect information to prepare accurate claims before billing.
• Ensure ICD-10 and CPT codes are correct on claims.
• Schedule and complete follow-ups with patients and insurers.
• Review EOB denial and remark codes.
• Post payments from patients and insurers.
• Document calls, resubmissions, adjustments and collections per policy.
• Communicate with patients about delinquent accounts.
• Handle confidential information with discretion.

Skills

Analytical skills

Multitasking

Written and verbal communication

Interpersonal skills

Attention to detail

Professionalism

Education

High School Diploma or equivalent

Tools

E-Clinical Works (eCW)

Microsoft Excel

Job description

Valora Medical Group is a visionary company focused on high-quality primary care and value-based care and, consists of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family.

With multiple locations throughout the Dallas‑Fort Worth area and our new expansion to central Florida, we understand that providing quality medical care and an exceptional patient experience requires having an outstanding team.

Job Summary:

The Billing Specialist is responsible for ensuring all patient account and claim information is accurate, that changes to patient information and claims are processed accurately and timely, and ensures that all patient interactions are courteous, compassionate, and professional.

Essential Duties and Responsibilities:

• Work outstanding claims, denials, appeals, and aging reports to determine the appropriate follow-up action.
• Collect all information necessary to prepare claims accurately before patients are billed.
• Ensure the correct ICD-10 and CPT codes on claims are accurate for billing purposes.
• Ensure all scheduled follow-ups with patients and insurance carriers are completed in a timely manner.
• Review and interpret EOB denial and remark codes.
• Meet individual and department goals set forth by management.
• Notate all calls, resubmissions, adjustments, and collections in accordance with departmental policies and procedures.
• Communicate with patients regarding delinquent accounts.
• Ensure all necessary documentation and information is correct according to departmental policies and procedures
• Post payments, including both patient and insurance payments.
• Additional duties as assigned by management.

Education/Qualifications:

• High School Diploma or equivalent required
• Bilingual in English and Spanish is highly preferred
• Primary Care billing experience is required
• Experience with EMR System E-Clinical Works (eCW) is a strongly preferred
• Knowledge of medical and billing terminology, including ICD-10 and CPT coding is required
• Intermediate experience with Microsoft Office, specifically Excel
• Must have effective written, verbal communication, and interpersonal skills
• Ability to remain professional at all times
• Demonstrates the ability to explain complex information to others
• Ability to establish working relationships, resolve interpersonal conflicts, and apply basic staff etiquette in dealing with others
• Ability to handle confidential information with discretion
• Strong analytical skills with attention to detail
• Ability to learn new procedures and adapt quickly to change
• Ability to multitask and handle a variety of priorities
• Innovative, motivated, organized, and team player
• Proactive and self‑starter
• Follow through with commitments

EEO Statement: Valora Medical Group, LLC is an equal opportunity employer and does not discriminate on the basis of race, color, religion, creed, sex, national origin, age, disability, pregnancy status, sexual orientation, gender identity, veteran status, marital status, genetic information, citizenship status, or other status protected by law. In compliance with the Immigration Reform and Control Act of 1986, we will hire only U.S. citizens and aliens lawfully authorized to work in the United States.