Medical Billing Specialist - Claims & Revenue Expert

Valora Medical Group; Irving (TX); On-site; USD 42,000 - 65,000; Full time

Job summary

Valora Medical Group is a primary care provider seeking a Billing Specialist to ensure all patient account and claim information is accurate, and that changes to patient information and claims are processed correctly and timely.

The role includes posting payments, handling denials and appeals, following up with patients and carriers, and upholding courteous, professional interactions in line with our patient‑first approach.

Qualifications

• High School Diploma or equivalent required.
• Bilingual in English and Spanish highly preferred.
• Primary Care billing experience required.
• Experience with EMR system E-Clinical Works (eCW) strongly preferred.
• Knowledge of ICD-10 and CPT coding required.
• Intermediate Excel skills and MS Office familiarity.
• Effective written, verbal communication and interpersonal skills.
• Ability to handle confidential information with discretion.

Responsibilities

• Work outstanding claims, denials, appeals, and aging reports.
• Collect information to prepare claims accurately before billing.
• Ensure ICD-10 and CPT codes are correct for billing.
• Ensure follow-ups with patients and insurers are timely.
• Notate calls, resubmissions, adjustments, and collections per policy.
• Communicate with patients regarding delinquent accounts.
• Post payments from patients and insurance.
• Follow additional duties as assigned by management.

Skills

Bilingual (English/Spanish)

Communication skills

Analytical skills

Microsoft Excel

Multitasking

Education

High School Diploma or equivalent

Tools

EHR: eCW (E-Clinical Works)

Job description

Valora Medical Group is a primary care provider seeking a Billing Specialist to ensure all patient account and claim information is accurate, and that changes to patient information and claims are processed correctly and timely.

The role includes posting payments, handling denials and appeals, following up with patients and carriers, and upholding courteous, professional interactions in line with our patient‑first approach.