Pediatric Medical Billing Specialist

Children's National Medical Center; Silver Spring (MD); On-site; USD 26,000 - 43,000; Full time

Job summary

Children's National Hospital seeks a Professional Billing Specialist to ensure physician claims are complete, accurate, and billed in a timely manner, in line with internal policy and regulatory guidelines.

You will work with CPT/ICD coding, NCCI tools, and medical records to support accurate billing for hospital, specialty, and primary care services. Excellent attention to detail and process discipline are required.

Qualifications

• High School Diploma or GED required.
• Associate's Degree or Healthcare Billing training preferred.
• 2 years of professional service billing experience in a physician clinic or billing office required.
• Strong analytical/problem solving and ability to handle high volumes daily.

Responsibilities

• Monitor claims outstanding and report daily to manage volumes.
• Investigate and correct claim errors; report trends and incidents.
• Follow up on Held claims daily and bill secondary claims at least twice weekly.
• Coordinate supporting documents to ensure claim validity and timely submission.

Skills

Analytical problem solving

Detail oriented

Productivity driven

Ability to process large volumes

Education

High School Diploma or GED

Associate's Degree/Healthcare Billing Vocational Training

Tools

CPT and ICD guidelines

Craneware

NCCI tools

Medical Records/Account Systems

Job description

Children's National Hospital seeks a Professional Billing Specialist to ensure physician claims are complete, accurate, and billed in a timely manner, in line with internal policy and regulatory guidelines.

You will work with CPT/ICD coding, NCCI tools, and medical records to support accurate billing for hospital, specialty, and primary care services. Excellent attention to detail and process discipline are required.