Medical Billing Specialist I — Precise Claims & Compliance

PRN - Physical Therapy Clinics; Watauga (TX); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Job summary

Physical Rehabilitation Network (PRN) is hiring a Medical Billing Specialist I to ensure accurate claims processing, verify patient demographics and insurance details, and minimize errors. The role supports revenue cycle by preventing rejections and maintaining regulatory compliance across state and payer rules.

The ideal candidate is detail oriented, dependable, and productive, with knowledge of medical billing processes and CPT/ICD coding. Prior OT/PT billing experience is a plus.

Qualifications

• High School Diploma or equivalent certification.
• Detail-oriented with verification of claims for accuracy.
• Experience with medical billing and CPT/ICD coding preferred.

Responsibilities

• Submit claims with aim of zero errors.
• Verify completeness and accuracy before submission.
• Review demographics, insurance details, and codes for errors.
• Check eligibility with payors before scheduling services.
• Adhere to payor rules and prevent rejections.
• Identify and address recurring rejection issues.
• Correct rejected claims and resubmit promptly.
• Track front-end rejection metrics and report to management.
• Ensure ICD codes match billing records.
• Bill secondary claims with primary EOB.
• Send paper claims with all attachments.
• Perform data entry corrections and audit paper claims.
• Comply with HIPAA and privacy laws.
• Provide feedback for process improvements.

Skills

Dependability

Independent work

Teamwork

Organizational skills

Communication skills

Customer service

CPT/ICD codes knowledge

Insurance knowledge

Microsoft Excel

Microsoft Office

Education

High School Diploma or equivalent

Tools

NextGen System

Microsoft Office

Excel

Job description

Physical Rehabilitation Network (PRN) is hiring a Medical Billing Specialist I to ensure accurate claims processing, verify patient demographics and insurance details, and minimize errors. The role supports revenue cycle by preventing rejections and maintaining regulatory compliance across state and payer rules.

The ideal candidate is detail oriented, dependable, and productive, with knowledge of medical billing processes and CPT/ICD coding. Prior OT/PT billing experience is a plus.