Administrative & Medical Billing Specialist

Job Description

Job Description

Job Description

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Job Posting TitleAdministrative & Medical Billing Specialist

Job Description

Administrative & Medical Billing Specialist

Pediatric Speech Lab (PSL)
Location: Waldorf, Maryland
Employment Type: Full-Time | 40 Hours Per Week
Work Arrangement: On-Site
Rate: $23.00-$25.00/hour

Position Summary

Pediatric Speech Lab (PSL) is seeking a highly organized, dependable, and proactive Administrative & Medical Billing Specialist to support the administrative, billing, insurance, and operational functions of our growing ABA and pediatric speech therapy programs.

This in-clinic position combines administrative and clinical duties, designed for someone with strong administrative and medical billing skills.

The ideal candidate will have experience with medical billing, insurance claims, authorizations, accounts receivable, scheduling, and healthcare administration , preferably within ABA, speech therapy, pediatric, rehabilitative, or habilitative healthcare settings.

This is not an entry-level billing position . The successful candidate should be able to work independently, identify billing and authorization issues, follow outstanding claims through resolution, and communicate effectively with leadership, insurance companies, families, and clinical staff.

The position requires the ability to transition between administrative and billing responsibilities.

Compensation & Benefits

• $23.00-$25.00/hour 
• Full-time position: 40 hours per week
• Standard company benefits
• Aflac benefits available
• 401 K

Key ResponsibilitiesMedical Billing & Revenue Cycle

• Submit accurate and timely claims for ABA and Speech Therapy services.
• Verify insurance eligibility, benefits, coverage requirements, and authorization requirements.
• Review claims for accurate CPT/HCPCS codes, units, provider information, and authorization requirements.
• Monitor claim status and follow claims through payment or resolution.
• Review EOBs and ERAs and identify payment discrepancies.
• Work denied, rejected, underpaid, and outstanding claims.
• Submit corrected claims, reconsiderations, appeals, and supporting documentation when necessary.
• Monitor accounts receivable and aging reports and actively work outstanding balances.
• Identify trends in denials, rejected claims, and billing errors.
• Communicate billing concerns and trends to leadership.
• Reconcile services rendered, clinical documentation, authorizations, and claims to identify missing or incorrect billing.
• Monitor timely filing requirements and payer-specific billing guidelines.
• Identify billing issues related to provider enrollment, credentialing, authorization, eligibility, or documentation.
• Communicate with insurance companies regarding claim status, denials, authorizations, and reimbursement issues.
• Maintain accurate billing records and supporting documentation.
• Assist with billing-related questions from families and staff.
• Research payer requirements and assist leadership in resolving recurring reimbursement issues.