Physician Billing Specialist - On-Site, Denials & AR Expert

Medix Staffing Solutions, Inc.; Monessen (Westmoreland County); On-site; USD 45,000 - 65,000; Full time

Job summary

Medix Staffing Solutions, Inc. is seeking a detail-oriented Physician Biller to join our on-site team in Belle Vernon, PA.

This role manages the physician revenue cycle, submitting professional claims, resolving denials, and performing timely insurance follow-up to ensure prompt reimbursement. You will prepare claims, verify CPT/HCPCS/ICD-10-CM codes, enter charges in the PM system, and use eClinicalWorks to monitor accounts and balances.

Qualifications

• Minimum of 2 years of physician / professional medical billing experience.
• End-to-end physician revenue cycle knowledge including charge entry, submissions, posting, A/R, and denial management.
• Experience billing and following up with Medicare, Medicaid, commercial carriers, and third-party payers.
• Working knowledge of CPT, HCPCS, ICD-10-CM coding and medical billing terminology.
• Proven track record of researching, correcting, and appealing denials and underpayments.
• Proficiency with electronic health record (EHR) and practice management software.

Responsibilities

• Prepare, review, and submit clean professional claims to commercial payers, Medicare, Medicaid, and managed care plans.
• Review claims for coding accuracy and modifiers (CPT, HCPCS, ICD-10-CM).
• Enter and maintain patient demographics, charges, payments, adjustments, authorizations, and referrals in the PM system.
• Utilize EHR system (eClinicalWorks) to enter charges, track claims, review history, and monitor balances.
• Investigate and resolve claim denials and underpayments; resubmit corrected claims promptly.
• Work aging reports and communicate with payers to resolve issues and ensure timely payments.
• Interpret EOBs/ERAs to determine adjustments and write-offs.

Skills

Physician billing

Revenue cycle

Payer familiarity

Coding knowledge

Tools

eClinicalWorks (eCW)

Practice management software

Job description

Medix Staffing Solutions, Inc. is seeking a detail-oriented Physician Biller to join our on-site team in Belle Vernon, PA.

This role manages the physician revenue cycle, submitting professional claims, resolving denials, and performing timely insurance follow-up to ensure prompt reimbursement. You will prepare claims, verify CPT/HCPCS/ICD-10-CM codes, enter charges in the PM system, and use eClinicalWorks to monitor accounts and balances.