Patient Account Representative – Follow-up/Insurance Denial Management

Children's Specialty Group; Norfolk (VA); Hybrid; USD 26,000 - 32,000; Full time

Job summary

Children’s Specialty Group is seeking an experienced Medical Billing Professional to join our pediatric multispecialty team. The role focuses on follow-up and insurance denial management, requiring strong analytical skills, attention to detail, and independence in problem solving.

You’ll support the central billing office as part of a collaborative team. The ideal candidate will be proficient in CPT/ICD-10 coding, CMS-1500 forms, and claims resolution, with EPIC billing experience strongly

Qualifications

• Familiarity with CPT (Current Procedural Terminology) and ICD-10 coding.
• Current knowledge of professional billing (CMS-1500).
• Experience in resolving denied, underpaid and no response claims.
• Review and work monthly accounts receivable reports.
• Place calls to insurance companies and utilize payer websites to resolve claims.
• EPIC Billing experience is strongly preferred.
• Full-Time; must reside in VA.
• Hybrid remote opportunity after 1 year of employment.

Responsibilities

• Place calls to insurance companies and use payer portals to resolve claims.
• Review and work monthly accounts receivable reports.
• Resolve denied and underpaid claims.
• Collaborate with central billing office as a team member.
• Hybrid remote opportunity after 1 year of employment.

Skills

CPT coding

ICD-10 coding

CMS-1500

Claims follow-up

Insurance denials

EPIC billing

Tools

EPIC Billing

Job description

Patient Account Representative – Follow-up/Insurance Denial Management

• Patient Account Representative – Follow-up/Insurance Denial Management

We are looking to hire an experienced Medical Billing Professional to be a part of a pediatric multispecialty company that continues to grow in the healthcare field. If you’re hard-working and dedicated, Children’s Specialty Group is an ideal place to get ahead. We are looking for individuals who have a positive attitude, strong analytical skills, an attention to detail and the ability to problem solve independently. Must be professionally motivated to work as a team member to support the central billing office.

Position Requirements/Responsibilities:

• Familiarity with CPT (Current Procedural Terminology) and ICD-10 diagnosis coding
• Current knowledge of professional billing (CMS-1500)
• Experience in resolving denied, underpaid and no response claims
• Review and work monthly accounts receivable reports
• Place calls to insurance companies and utilize payer websites to resolve claims
• Experience with EPIC billing is strongly preferred
• Full-Time, must reside in VA
• Hybrid remote opportunity after 1 year of employment

Anticipated Salary: $19 – $23 hourly, commensurate with experience