Job Description

Position: Medical Billing Specialist
Location: (On-Site)
Schedule:

Monday – Thursday: 8:00 AM – 5:00 PM

Friday: 8:00 AM – 12:00 PM

Compensation:

$23 – $25/hour, based on experience

We are seeking an experienced Medical Billing Specialist to support our growing women's health practice. This role is critical to maintaining a clean and efficient revenue cycle and requires hands-on experience across billing, accounts receivable, and client invoicing.

This is not an entry-level billing role. We are looking for someone who can work independently, think critically, and contribute to the overall financial health of the organization.

This role includes responsibility for reviewing reimbursement accuracy and identifying underpayments, not just processing transactions.

Must-Have Experience (Please Do Not Submit Without These)

2+ years of medical billing experience

Hands-on Revenue Cycle Management (RCM) experience

Strong experience with:

– Charge entry

– Claims submission

– Payment posting and allocation

– Accounts receivable (AR) follow-up

Ability to read and understand EOBs and ERAs

Experience managing and resolving denials

Highly Preferred

Client billing / invoicing experience (lab billing such as Quest is a strong plus)

Experience with Modernizing Medicine (ModMed) or similar EMR

Experience in a specialty practice (women's health, internal medicine, or similar)

Key Responsibilities

Perform accurate charge entry and claim submission

Manage client billing and invoice reconciliation (including lab services)

Post and allocate payments correctly across accounts

Work aging AR and follow up on unpaid or denied claims

Review and interpret EOBs to take appropriate action

Ensure accounts are balanced and reconciled

Compare expected reimbursement to actual payments and identify underpayments or discrepancies

Investigate and follow up on underpaid claims to ensure proper reimbursement

Patient & Team Communication

Clearly explain billing, balances, and insurance to patients in a simple and supportive way

Work closely with providers to ensure accurate documentation and coding

Collaborate with leadership on billing issues and process improvements

What Success Looks Like

Keeps AR clean and actively worked

Identifies and resolves issues, not just processes tasks

Reduces denials through accuracy and follow-through

Recognizes and addresses underpayments proactively

Communicates professionally with both patients and providers

Maintains strong attention to detail in a high-volume environment

What We Are NOT Looking For

Entry-level billers without full-cycle experience

Candidates with only front desk or limited billing exposure

Candidates without AR follow-up or denial management experience

We are a growing, patient-focused organization and are looking for someone who takes pride in their work, values accuracy, and wants to be part of a collaborative and supportive team.