Pediatric Billing Specialist – Insurance Claims & Support

Pediatrics-Plus; Prosper (TX); On-site; USD 36,000 - 39,000; Full time

Benefits offered by this job

Competitive Pay

Paid Time Off

State of the Art Facilities & Tech

Job summary

Pediatrics Plus in Prosper, TX is seeking a Billing Specialist to manage all insurance billing activities, including Medicaid and private pay. You will provide outstanding customer service to families over the phone and coordinate with insurance companies to obtain and maintain pre-certifications.

The ideal candidate has 2+ years of medical billing experience, a High School Diploma or equivalent, and strong organizational skills.

Qualifications

• 2+ years of medical billing experience required.
• Experience with Medicaid and insurance billing.
• Ability to communicate professionally with families.
• HIPAA confidentiality and privacy knowledge.

Responsibilities

• Process and bill insurance claims.
• Handle medical record requests from insurers.
• Reconcile payments with posted entries.
• Provide excellent customer service by phone to families.
• Explain insurance billing scenarios to families.
• Call insurers for pre-certification.
• Enter and update data in deTASO.
• Maintain confidentiality per HIPAA.
• Support team in a collaborative environment.

Skills

Medical billing

Communication

Attention to detail

Team player

HIPAA privacy

Education

High School Diploma

High School Diploma or equivalent

Tools

deTASO

Job description

Pediatrics Plus in Prosper, TX is seeking a Billing Specialist to manage all insurance billing activities, including Medicaid and private pay. You will provide outstanding customer service to families over the phone and coordinate with insurance companies to obtain and maintain pre-certifications.

The ideal candidate has 2+ years of medical billing experience, a High School Diploma or equivalent, and strong organizational skills.