Part-Time Medical Billing Specialist – Pediatrics

The-Hope-Learning-Center; Wexford (Allegheny County); On-site; USD 28,000 - 34,000; Part time

Benefits offered by this job

Part-Time Flexibility

Meaningful Work

Independent Work

Collaborative Environment

Opportunity to Make an Impact

Job summary

The Hope Therapy Center is seeking a part-time Medical Billing Specialist to oversee insurance authorizations, claims, and credentialing for pediatric therapy services in Wexford, PA. You’ll coordinate with the clinical team and external billing partners to ensure accurate and timely reimbursement.

Ideal candidates have 2+ years of medical billing experience, familiarity with Medicaid and commercial payers, and strong organizational and communication skills.

Qualifications

• At least 2 years of medical billing and coding experience.
• Experience with Medicaid and commercial insurance.
• At least 1 year of mental health, behavioral health, or pediatric therapy billing.
• Strong understanding of authorizations, claims processing, payment reconciliation, and denials.
• Excellent written and verbal communication skills.
• Strong organizational skills and attention to detail.
• Ability to work independently, manage competing priorities, and meet deadlines.
• Proactive problem-solver who takes ownership of responsibilities and improves processes.

Responsibilities

• Manage insurance authorizations, including obtaining, tracking, and maintaining approvals to support uninterrupted client services.
• Maintain client and provider information within CentralReach, including staff accounts and reporting.
• Monitor billing activity and analyze reports to ensure claims are submitted accurately and on time.
• Review EOBs, investigate payment discrepancies, and assist with claim denials and appeals.
• Identify outstanding claims, unpaid balances, and problem accounts, and work toward timely resolution.
• Coordinate provider credentialing and maintain enrollment with insurance companies.
• Serve as a point of contact between Hope, insurance companies, clients, and third-party billing partners.
• Maintain familiarity with current billing codes, payer requirements, and insurance procedures.
• Collaborate with clinical and administrative staff to identify billing concerns and opportunities to improve workflows.
• Develop and maintain organized billing procedures, documentation, and best practices.
• Help identify opportunities to maximize authorized services and support the delivery of care to our clients.

Skills

Medical billing

Medicaid & insurance

Pediatric billing

Billing accuracy

Problem solving

Tools

CentralReach

Job description

The Hope Therapy Center is seeking a part-time Medical Billing Specialist to oversee insurance authorizations, claims, and credentialing for pediatric therapy services in Wexford, PA. You’ll coordinate with the clinical team and external billing partners to ensure accurate and timely reimbursement.

Ideal candidates have 2+ years of medical billing experience, familiarity with Medicaid and commercial payers, and strong organizational and communication skills.