Pediatric Medical Billing Specialist — High-Volume Claims

Addison Group; Germantown (MD); Presencial; USD 28.000 - 34.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits

Dental benefits

Vision benefits

401(k)

Descripción de la vacante

Addison Group is partnering with a growing pediatric healthcare organization seeking an experienced Billing Specialist to join its centralized billing team. This position is ideal for someone with strong medical billing, accounts receivable, collections, and revenue cycle experience who enjoys working in a fast-paced, high-volume environment and managing claims through the full billing lifecycle.

The Billing Specialist is responsible for handling full-cycle medical billing functions, including

Formación

• 2+ years of recent medical billing experience required.
• Experience with full-cycle medical billing, including claim submission, payment posting, AR follow-up, and collections.
• Strong understanding of healthcare revenue cycle management processes.
• Experience researching denials and resolving claim issues with insurance payers.
• Knowledge of insurance verification, eligibility, reimbursement, and billing procedures.
• Comfortable handling patient account inquiries both in person and over the phone.
• Strong attention to detail and ability to work efficiently in a high-volume environment.
• Excellent customer service, communication, and problem-solving skills.
• Experience with eClinicalWorks (eCW) is strongly preferred.

Responsabilidades

• Verify patient insurance eligibility and benefits prior to claim submission.
• Prepare, scrub, and submit electronic and paper claims to insurance payers.
• Monitor claim status and perform claim corrections, resubmissions, and follow-up activities.
• Research and resolve denied, underpaid, and unpaid claims.
• Post payments, adjustments, and account transactions within the practice management system.
• Manage accounts receivable and collections activities to ensure timely reimbursement.
• Reconcile claims and payments while maintaining accurate billing records.
• Review CPT coding accuracy and support claim resolution efforts.
• Respond to billing inquiries from patients and insurance carriers.
• Generate patient statements and assist with payment plans and balance collection efforts.
• Maintain knowledge of payer contracts, fee schedules, and reimbursement guidelines.
• Provide in-person and over-the-phone customer service regarding billing-related concerns.

Conocimientos

Medical billing

Accounts receivable

Revenue cycle management

Denial resolution

Insurance verification

Customer service

Herramientas

eClinicalWorks (eCW)

Descripción del empleo

Addison Group is partnering with a growing pediatric healthcare organization seeking an experienced Billing Specialist to join its centralized billing team. This position is ideal for someone with strong medical billing, accounts receivable, collections, and revenue cycle experience who enjoys working in a fast-paced, high-volume environment and managing claims through the full billing lifecycle.

The Billing Specialist is responsible for handling full-cycle medical billing functions, including