Medical Billing Specialist (ON SITE in Virginia Beach)
Thrive Proactive Health
Thrive Proactive Health Is Hiring A Medical Billing Specialist
Thrive Proactive Health is hiring a Medical Billing Specialist to join our on-site Revenue Cycle Management (RCM) team in Virginia Beach. This is not a remote position.
We are looking for someone organized, detail-oriented, and confident navigating insurance claims, denials, and patient billing. This role is critical to the financial health of our multidisciplinary clinic and directly supports patient experience, provider success, and operational performance.
If you enjoy problem-solving, working across multiple systems, and being a part of the back end administrative workflows that make a thriving practice successful, this could be a strong fit.
The Role
As a Medical Billing Specialist, you will help manage the full claims cycle from clean submission to final payment across multiple service lines including Physical Therapy, Chiropractic, Acupuncture, and Massage. You will work closely with our front-end team, providers, and billing partners to ensure accurate claims processing, timely follow-up, and a clear financial experience for patients.
Key Responsibilities
- Insurance & Eligibility Verification
- Verify benefits and eligibility
- Obtain referrals and pre-authorizations as needed
- Claims Management
- Submit clean claims and corrected claims
- Track and follow up on unpaid or delayed claims
- Investigate and appeal denials
- Denies & Accounts Receivable
- Manage A/R aging reports
- Resolve underpayments and discrepancies
- Coordinate collection efforts as needed
- Payment Processing
- Post payments, adjustments, refunds, and transfers of responsibility accurately
- Patient Financial Communication
- Assist patients with billing questions
- Set up payment plans
- Manage monthly statements
- Credentialing & Enrollment Support
- Support EDI, EFT, ERA enrollments
- Assist with payer updates and contract documentation
- Compliance
- Maintain HIPAA compliance and payer regulatory standards
- Ensure billing documentation aligns with required guidelines
What We're Looking For
- Prior medical billing experience preferred (we will train the right candidate with strong aptitude)
- Strong attention to detail and accuracy
- Comfortable working in EHR systems, clearinghouses, payer portals, and spreadsheets
- Ability to prioritize tasks and meet deadlines
- Clear and professional communication with patients, providers, and insurance companies
- Dependable and self-directed
Work Environment
- On-site role in Virginia Beach, VA
- Collaborative team environment
- Cross-functional work with front desk, providers, and leadership
- Exposure to multiple service lines within one organization
- Candidates seeking fully remote work will not be considered.
Career Growth
We believe in building career advancement, not just filling roles. Growth pathway within our RCM department includes:
- Level 1 Medical Billing Specialist (Entry): Learn systems, submit claims, post payments, follow up on denials.
- Level 2 Medical Billing Specialist (Experienced): Manage full claim lifecycle, A/R, denials, appeals, and collections.
- Level 3 Senior Billing Specialist / Billing Lead: Support audits, mentor peers, improve workflows, assist with credentialing.
- Level 4 Revenue Cycle Manager: Oversee contracts, manage KPIs, guide department performance.
- Performance and initiative drive advancement.
What We Offer
- Competitive hourly pay (based on experience)
- Clear advancement pathway
- Supportive, accountable team culture
- Exposure to broader healthcare operations
- A mission-driven organization focused on proactive health and long-term patient outcomes
If you are ready to contribute meaningfully to a growing healthcare practice and take ownership of your work, we encourage you to apply.
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