Medical Billing Specialist / Denials Specialist

Next STEPS Worldwide; McKinney (TX); Vor Ort; USD 28.000 - 33.000; Vollzeit

Zusammenfassung

Next STEPS Worldwide—an outpatient clinic delivering holistic psychological, therapy, and nutrition services—seeks a Billing Specialist/Denials Specialist in McKinney, TX. This in-person, full-time role focuses on accurate claims processing, denial management, and account resolution to support the organization’s mission-driven care.

The ideal candidate brings 3+ years in medical billing, CPT/ICD-10 knowledge, and strong problem-solving with solid Excel/Word skills.

Qualifikationen

• High school diploma or equivalent (required).
• Minimum 3 years of experience in medical billing and denial management.
• Strong working knowledge of CPT, ICD-10, and insurance billing procedures.
• Experience with electronic claim submission and payer portals.
• Proficiency in Microsoft Word and Excel.
• Excellent problem-solving, communication, and time management skills.
• Ability to work both independently and collaboratively in a fast-paced environment.

Aufgaben

• Review and manage denied or rejected insurance claims to ensure timely resolution and reimbursement.
• Identify patterns and root causes of denials and coordinate with internal teams to correct and prevent future errors.
• Submit corrected claims and appeal letters with appropriate documentation.
• Post and reconcile payments, adjustments, and write-offs in the EMR and billing system.
• Maintain an understanding of payer-specific billing requirements, coding updates, and submission timelines.
• Collaborate with intake, clinical, and billing teams to ensure claims accuracy and completeness.
• Generate and maintain reports on denial trends and recovery outcomes.
• Support overall revenue cycle initiatives as assigned.

Kenntnisse

Medical billing

Denials management

Attention to detail

Communication

Time management

Team collaboration

Analytical thinking

Ausbildung

High school diploma

Tools

Microsoft Word

Excel

EMR system

Jobbeschreibung

Billing Specialist / Denials Specialist

Location: McKinney, TX (In-Person)

Job Type: Full-Time

Starting at $20.00 per hour

Join the Growing Team at Next STEPS Worldwide!

Next STEPS Worldwide is a rapidly expanding outpatient clinic providing holistic psychological, therapeutic, and nutrition services across all age groups. We are seeking a Billing Specialist / Denials Specialist to join our billing and revenue cycle team in McKinney, TX.

This role is critical in ensuring accurate claims processing, denial management, and account resolution. The ideal candidate will have strong attention to detail, a problem-solving mindset, and a passion for supporting a mission-driven organization that's changing lives every day.

Key Responsibilities

• Review and manage denied or rejected insurance claims to ensure timely resolution and reimbursement
• Identify patterns and root causes of denials and coordinate with internal teams to correct and prevent future errors
• Submit corrected claims and appeal letters with appropriate documentation
• Post and reconcile payments, adjustments, and write-offs in the EMR and billing system
• Maintain a thorough understanding of payer-specific billing requirements, coding updates, and submission timelines
• Collaborate with intake, clinical, and billing teams to ensure claims accuracy and completeness
• Generate and maintain reports on denial trends and recovery outcomes
• Support overall revenue cycle initiatives as assigned

Required Qualifications

• High school diploma or equivalent (required)
• Minimum 3 years of experience in medical billing and denial management (preferred in outpatient mental health or medical setting)
• Strong working knowledge of CPT, ICD-10, and insurance billing procedures
• Experience with electronic claim submission and payer portals
• Proficiency in Microsoft Word and Excel
• Excellent problem-solving, communication, and time management skills
• Ability to work both independently and collaboratively in a fast-paced environment

Schedule

• Monday to Friday
• Full-Time, In-Person

Compensation & Benefits

Pay: Starting at $20.00 per hour, based on experience

Benefits Include

• 401(k) with employer matching
• Health, Dental, and Vision insurance
• Life insurance
• Paid time off
• Opportunities for growth and advancement