Medical Billing Specialist: Charge Entry & Appeals

Wellspire Medical Group; Houston (TX); On-site; USD 25,000 - 29,000; Full time

Job summary

Wellspire Medical Group in Kingwood, TX is seeking a Billing Full Time specialist to manage charge entry, claim submission, and revenue cycle support in a fast-paced multi-specialty practice.

The ideal candidate has 1–2 years of medical billing experience, knowledge of CPT/ICD-10, and experience with EMR/PM systems (eClinicalWorks preferred). Strong attention to detail and the ability to handle high claim volumes while maintaining HIPAA compliance are essential.

Qualifications

• High school diploma or equivalent required; CPC or billing certification preferred
• Minimum 1-2 years of medical billing experience (multi-specialty preferred)
• Knowledge of CPT, ICD-10, and basic billing guidelines
• Experience with EMR/PM systems (eClinicalWorks preferred)
• Familiarity with insurance claims, denials, and appeals processes
• Strong communication skills (written and verbal)
• Ability to work independently and as part of a team
• Fast-paced medical office setting
• Collaboration with billing, coding, and appeals teams
• May require handling high claim volumes and time-sensitive tasks

Responsibilities

• Enter charges accurately into the practice management system based on provider documentation
• Review claims for completeness and accuracy prior to submission
• Submit electronic and paper claims to insurance carriers in a timely manner
• Ensure claims meet payer-specific guidelines and requirements
• Work claim edits and rejections to ensure clean claim submission
• Monitor claim status and assist with follow-up as needed
• Enter and update patient demographic information accurately
• Verify completeness of patient accounts prior to claim submission
• Correct demographic errors that may cause claim denials or delays
• Maintain confidentiality and compliance with HIPAA regulations
• Assist with preparing and submitting appeals via fax and mail
• Print, organize, and compile documentation for appeal packets
• Track appeal submissions and ensure proper documentation is attached
• Support Appeals Team with administrative tasks as needed
• Fax and mail documents related to billing, claims, and appeals
• Scan and upload documents into patient accounts
• Maintain organized records of submitted claims and appeals
• Assist with special projects and workflow improvements

Skills

Attention to detail

Organizational skills

Time management

Education

High school diploma or equivalent

CPC or billing certification

Tools

eClinicalWorks

Job description

Wellspire Medical Group in Kingwood, TX is seeking a Billing Full Time specialist to manage charge entry, claim submission, and revenue cycle support in a fast-paced multi-specialty practice.

The ideal candidate has 1–2 years of medical billing experience, knowledge of CPT/ICD-10, and experience with EMR/PM systems (eClinicalWorks preferred). Strong attention to detail and the ability to handle high claim volumes while maintaining HIPAA compliance are essential.