Medical Billing Specialist: Growth, Education & Benefits

PDS Health; Irving (TX); Sur place; USD 26 000 - 34 000; Plein temps

Avantages offerts par ce poste

Medical, dental, and vision insurance

Paid time off

Tuition Reimbursement

401K

Volunteer time to support the local社区

Résumé du poste

PDS Health is seeking a billing professional to ensure accurate and timely physician claim submissions. The role involves interaction with Government and Commercial payers and collaboration with the Revenue Operations team.

Responsibilities include validating claims, correcting re-submissions, handling denials and appeals, and following up to secure timely reimbursements. Epic/Relay experience is preferred, with strong MS Office skills and a customer‑minded approach.

Qualifications

• High school diploma or GED required.
• 1+ year experience in hospital or physician billing preferred.

Responsabilités

• Responsible for accurate and timely billing of physician claims with Government and Commercial payers.
• Validates claims information to ensure compliance and reimbursement accuracy.
• Corrects and resubmits claims as needed if rejected by the Clearinghouse.
• Acts as a liaison between Revenue Operations (Business Office) and payers to resolve billing and reimbursement accuracy.
• Processes denials and prepares appeals with appropriate documentation.
• Follows up on outstanding claims for timely reimbursement.
• Monitors and maintains appropriate volumes of assigned account inventory.
• Files and follows up on Third Party medical claims.
• Collaborates with other departments and physician practices to ensure accuracy of claims information.
• Processes ERAs/EOBs for posting of adjustments on accounts.
• Other duties as assigned by management.

Connaissances

Interpersonal communication

Multitasking

Attention to detail

Teamwork

Formation

High school diploma or GED

Outils

Epic

Relay

Excel

MS Office

Word

Description du poste

PDS Health is seeking a billing professional to ensure accurate and timely physician claim submissions. The role involves interaction with Government and Commercial payers and collaboration with the Revenue Operations team.

Responsibilities include validating claims, correcting re-submissions, handling denials and appeals, and following up to secure timely reimbursements. Epic/Relay experience is preferred, with strong MS Office skills and a customer‑minded approach.