Medical Billing Specialist

Job Description

Job Description

Job Summary

Full Circle Chiropractic & Wellness Center is seeking a highly organized, detail-oriented, and accountable Billing Specialist to manage the financial cycle of our chiropractic and wellness practice.

This position is responsible for ensuring that services provided by the practice are properly billed, tracked, followed up on, and collected . The ideal candidate understands that billing does not end when a claim is submitted. The Billing Specialist is expected to follow accounts through final resolution and be able to identify why an account has not been paid, what action has been taken, and what needs to happen next.

This position includes responsibility for commercial insurance, Medicare, VA/Community Care, Personal Injury (PI), Workers’ Compensation, and patient/self-pay accounts.

This is not a front-desk position . The primary focus is billing, revenue cycle management, accounts receivable, payment follow-up, and protecting the financial health of the practice.

Key Responsibilities

The Billing Specialist will be responsible for:

• Verify insurance eligibility and benefits and accurately enter insurance information.
• Determine deductibles, copays, coinsurance, visit limitations, and patient financial responsibility.
• Contact patients regarding insurance benefits and expected payment responsibility.
• Manage insurance authorizations, precertifications, approved visits, expiration dates, and extensions.
• Prepare and submit clean claims in a timely manner.
• Review clearinghouse reports and correct rejected claims promptly.
• Monitor claims from initial submission through final payment or resolution.
• Review and post EOBs and ERAs accurately.
• Post insurance payments, patient responsibility, and appropriate contractual adjustments.
• Identify and follow up on underpaid and unpaid claims.
• Work insurance denials, corrected claims, reconsiderations, and appeals.
• Maintain accurate billing notes, patient ledgers, and follow-up dates.
• Review accounts receivable weekly, including 30-, 60-, 90-, and 120+ day balances.
• Contact insurance companies and document reference numbers and claim statuses.
• Manage patient balances, payment plans, credits, overpayments, and approved collection activity.
• Monitor timely-filing deadlines.
• Maintain accurate billing reports for management.
• Complete weekly and monthly billing reconciliation.
• Maintain HIPAA compliance and confidentiality.

Personal Injury Responsibilities

The Billing Specialist will also manage the financial tracking of PI accounts, including maintaining attorney and law-firm information, Letters of Protection when applicable, current balances, treatment status, records and billing requests, and settlement/payment communications.

PI cases must be reviewed weekly. During the third week of each month , the Billing Specialist will conduct a complete PI review and send case-status follow-ups to law firms for all open PI cases.

The Billing Specialist will track cases from active treatment through final payment and closure. Any PI settlement reduction request must be submitted to management for approval.

Workers’ Compensation Responsibilities

The Billing Specialist will maintain and monitor Workers’ Compensation accounts, including claim numbers, dates of injury, employers, carriers, adjusters, authorizations, approved services, submitted claims, denials, payments, and outstanding balances.

Workers’ Compensation cases will be reviewed weekly. During the fourth week of each month , the Billing Specialist will perform a complete review and update of all open Workers’ Compensation cases and follow up with carriers, adjusters, or case managers as necessary.

Daily Expectations

Each business day will include reviewing claim rejections, EOBs/ERAs, payer correspondence, payments, outstanding billing tasks, upcoming insurance eligibility and authorization needs, claim submission, payment posting, denial management, payer follow-up, and documentation of billing activity.

Urgent revenue issues—including authorization expirations, timely-filing deadlines, claim rejections, and eligibility problems—must be prioritized.

Weekly & Monthly Accountability

The Billing Specialist will complete structured weekly A/R, denial, claim follow-up, patient-account, PI, and Workers’ Compensation reviews.

Weekly reporting to management will include separate reporting for insurance billing, Personal Injury, and Workers’ Compensation .

Monthly responsibilities include reconciliation, aged A/R review, PI law-firm status follow-up, Workers’ Compensation case updates, denial trend analysis, and identification of unresolved revenue issues.

Qualifications

We are seeking a candidate with:

• Medical billing and/or revenue-cycle experience.
• Strong knowledge of insurance verification, claims, EOBs/ERAs, denials, and A/R.
• Experience communicating with insurance companies.
• Strong attention to detail and follow-through.
• Excellent documentation and organizational skills.
• Ability to manage multiple outstanding accounts and deadlines.
• Professional written and verbal communication skills.
• Ability to work independently and maintain accountability.
• Understanding of HIPAA and patient confidentiality.
• Strong computer and electronic billing-system skills.

Chiropractic billing experience is strongly preferred.

Experience with ChiroTouch, Office Ally, Availity, Medicare, VA/Community Care/TriWest, Personal Injury, and Workers’ Compensation billing is a plus.

The Candidate We Are Looking For

We are looking for someone who is proactive rather than reactive . This position requires someone who will investigate unpaid accounts, follow up consistently, document actions, meet deadlines, and continue working an account until there is a clear resolution.

The successful candidate should be comfortable being held accountable for the practice's billing workflow and should not allow claims, denials, PI cases, Workers’ Compensation cases, or outstanding balances to remain untouched without a documented reason and follow-up plan.

About Full Circle Chiropractic and Wellness Center:

At Full Circle Chiropractic and Wellness Center, we believe true healing begins with a holistic approach that integrates body, mind, and lifestyle. Located in the heart of Missouri City, TX, we specialize in personalized chiropractic care, injury rehabilitation, and wellness services designed to help patients achieve long-term relief and optimal health. Our clinic is led by Dr. Te’Lila Robinson, a board-certified Doctor of Chiropractic and passionate advocate for non-invasive, natural healing solutions.

We are proud to offer innovative treatments including spinal decompression, electrical stimulation, laser therapy, hyperbaric oxygen therapy, and CLIA-waived diagnostic testing—all within a warm, compassionate environment. Our diverse patient base includes individuals recovering from auto accidents, managing chronic pain, or simply seeking a healthier lifestyle.

Company Description

About Full Circle Chiropractic and Wellness Center:\n\nAt Full Circle Chiropractic and Wellness Center, we believe true healing begins with a holistic approach that integrates body, mind, and lifestyle. Located in the heart of Missouri City, TX, we specialize in personalized chiropractic care, injury rehabilitation, and wellness services designed to help patients achieve long-term relief and optimal health. Our clinic is led by Dr. Te’Lila Robinson, a board-certified Doctor of Chiropractic and passionate advocate for non-invasive, natural healing solutions.\n\nWe are proud to offer innovative treatments including spinal decompression, electrical stimulation, laser therapy, hyperbaric oxygen therapy, and CLIA-waived diagnostic testing—all within a warm, compassionate environment. Our diverse patient base includes individuals recovering from auto accidents, managing chronic pain, or simply seeking a healthier lifestyle.