Full-Time Pediatric Medical Biller

Job Description

Job Description

Full-Time Pediatric Medical Biller

Windermere Pediatrics – Windermere, FL

Experienced Medical Billers Only

Windermere Pediatrics is a well-established, independently owned pediatric practice seeking an experienced Full-Time Medical Biller to join our team.

This is not an entry-level position. We are looking for someone who has recent physician office medical billing experience, preferably in pediatrics, and understands the complete revenue cycle from charge entry through payment posting, insurance follow-up, denial management, and account resolution.

If you enjoy working in a friendly, team-oriented office where your experience is valued, we'd love to hear from you.

Position Details

• Full-Time
• Monday through Friday
• Occasional Saturday coverage (1–2 Saturdays per month as needed)

Primary Responsibilities

Charge Entry

• Accurately enter daily charges from provider documentation.
• Review documentation for billing accuracy.
• Verify CPT, ICD-10, HCPCS, and modifier usage.
• Submit clean claims electronically in a timely manner.

Insurance Follow-Up (Accounts Receivable)

The ideal candidate must be comfortable managing insurance aging and proactively following up on unpaid claims.

Responsibilities include:

• Working insurance aging reports daily.
• Following up with commercial insurance companies regarding unpaid or underpaid claims.
• Correcting claim issues and resubmitting when appropriate.
• Reviewing Explanation of Benefits (EOBs).
• Identifying payment discrepancies.
• Following claims through to final payment.
• Maintaining low outstanding accounts receivable.

Denials & Appeals

• Investigate denied claims.
• Correct billing errors.
• Submit corrected claims and appeals.
• Track recurring denial trends.
• Work directly with insurance carriers to resolve claim issues.

Payment Posting

• Post insurance and patient payments accurately.
• Balance daily deposits.
• Ensure payments match contracted reimbursement amounts.
• Identify underpayments and initiate follow-up.

Pediatric Billing Experience

Candidates should be familiar with billing services commonly performed in a pediatric practice, including:

• Well-child visits
• Sick visits
• Preventive medicine services
• Same-day preventive and sick visits using appropriate modifiers
• Vaccine administration coding
• Immunization billing
• Hearing screenings
• Vision screenings
• Developmental screenings
• Autism screenings
• Rapid Strep testing
• Influenza testing
• RSV testing
• COVID testing
• Urinalysis and other common in-office laboratory testing
• CPT coding
• ICD-10 diagnosis coding
• Appropriate modifier usage
• Commercial insurance billing requirements

Qualifications

Required

• Minimum 2 years of recent physician office medical billing experience
• Pediatric billing experience strongly preferred
• Experience working the complete medical billing revenue cycle
• Strong knowledge of:
• • CPT coding
  • ICD-10 coding
  • HCPCS codes
  • Medical terminology
  • Insurance claim submission
  • Payment posting
  • Insurance aging follow-up
  • Denial management
  • Appeals
• Excellent attention to detail
• Strong organizational skills
• Ability to prioritize multiple tasks
• Professional communication skills
• Ability to work independently while also contributing as part of a team

Preferred

• Experience using PCC (Physician's Computer Company) Practice Management/EHR software
• Pediatric office experience
• Experience billing commercial insurance plans
• Experience using electronic clearinghouses and payer portals

Front Office Support

As a small independent practice, teamwork is important.

When needed, this position will also assist with:

• Answering incoming phone calls
• Scheduling appointments
• Checking patients in and out
• Assisting the front desk during lunch coverage or busy periods
• Providing excellent customer service to our patients and families

Why Join Windermere Pediatrics?

At Windermere Pediatrics, we're proud to be an independent pediatric practice that has served our community for years. We believe in providing exceptional care to our patients while creating a positive, respectful, and supportive work environment for our team.

Our office offers:

• Friendly, family-oriented atmosphere
• Stable full-time employment
• Supportive team culture
• Opportunity to make a meaningful difference in children's healthcare
• Long-term career opportunity with an established practice

Please Read Before Applying

This position requires recent physician office medical billing experience.

Applicants whose experience is limited to hospital billing, dental billing, home health, chiropractic, veterinary, pharmacy, or billing school/training without physician office experience will not be considered.

If you are an experienced medical biller who enjoys working in pediatrics and takes pride in accurate, timely billing, we encourage you to apply.

Please submit your resume detailing your relevant medical billing experience.

Windermere Pediatrics is a trusted pediatric practice dedicated to providing compassionate, high-quality medical care to children from infancy through adolescence. Located in the heart of Orlando's Metro West area, we focus on building lasting relationships with families while promoting the health and well-being of our young patients in a warm, supportive environment.

Company Description

Windermere Pediatrics is a trusted pediatric practice dedicated to providing compassionate, high-quality medical care to children from infancy through adolescence. Located in the heart of Orlando's Metro West area, we focus on building lasting relationships with families while promoting the health and well-being of our young patients in a warm, supportive environment.