Medical Billing Specialist

Medical Billing Specialist

Jump Into a Hands-On Medical Billing Role with an Established Physician Practice

Are you a medical billing professional who enjoys the day-to-day work of keeping the revenue cycle moving? We're seeking a Medical Billing Specialist with 13 years of experience who can quickly become a valuable member of our team.

This is a hands-on role focused on medical billing operations, payment posting, accounts receivable follow-up, collections, and resolution of billing issues. It is not a management, supervisory, or analytical position. We are looking for someone who enjoys working directly in the billing process and takes pride in accuracy, organization, and problem-solving.

What You'll Do

As a Medical Billing Specialist, you will play a key role in supporting the financial health of the practice by:

• Accurately posting incoming payments, including checks, ACH transactions, credit card payments, and electronic remittances
• Generating and distributing patient statements, invoices, and account communications
• Reconciling payments against account balances and researching discrepancies
• Monitoring Accounts Receivable aging reports and following up on outstanding balances
• Communicating professionally with insurance carriers and patients regarding billing questions and payment issues
• Researching and resolving denials, underpayments, disputed charges, and billing discrepancies
• Processing account adjustments, credits, refunds, and write-offs according to established policies
• Reviewing explanation of benefits (EOBs) and remittance advice to ensure accurate reimbursement
• Maintaining detailed documentation of account activity, payment arrangements, and collection efforts
• Collaborating with providers, front office staff, clinical teams, and administrative personnel to resolve account concerns
• Assisting with month-end billing and revenue cycle activities
• Maintaining accurate patient and account information within billing systems
• Supporting audit requests by providing billing documentation and account records
• Performing other related duties as assigned

What We're Looking For

Required Qualifications

• High school diploma or equivalent
• 13 years of experience in medical billing, accounts receivable, collections, or revenue cycle operations
• Experience with payment posting, insurance follow-up, claims resolution, and collections activities
• Working knowledge of medical terminology and healthcare billing processes
• Familiarity with ICD-9 and ICD-10 diagnosis coding
• Ability to understand and interpret EOBs, remittance advice, denials, and reimbursement information
• Experience using electronic health records (EHR), practice management systems, or medical billing software
• Strong data entry, organizational, and problem-solving skills
• Excellent verbal and written communication skills
• Ability to prioritize multiple tasks while maintaining accuracy and meeting deadlines
• Strong customer service skills and professional phone etiquette

Preferred Qualifications

• Experience in a physician practice environment
• Knowledge of CPT, HCPCS, ICD-10, and insurance reimbursement processes
• Experience working with commercial insurance plans, Medicare, and Medicaid
• Microsoft Excel proficiency
• Associate degree or higher

Why Join Us?

• Consistent Monday through Friday, 8:00 AM to 5:00 PM schedule
• No weekends or holiday rotations
• Collaborative and supportive physician practice environment
• Opportunity to make an immediate impact from day one
• Stable, hands-on role with meaningful responsibility
• Professional team dedicated to quality patient care and operational excellence

Physical Requirements

• Office-based position within a physician practice setting
• Prolonged periods of sitting and working at a computer
• Frequent use of telephones and computer systems
• Ability to occasionally lift and carry up to 25 pounds
• Occasional filing and handling of paper medical and financial records

If you're a detail-oriented Medical Billing Specialist with 13 years of experience, understanding of medical terminology and ICD coding, and a passion for keeping billing operations running smoothly, we encourage you to apply today.

Equal Opportunity & Compliance Statements

Pivotal Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, or status as a qualified individual with a disability.

The Affirmative Action Plans for Minorities and Women, Individuals with Disabilities, and Protected Veterans are available for inspection by appointment with Human Resources during regular business hours.

Individuals with disabilities who need accommodation may contact Brenda Underwood, HR Director, at View phone number on click.appcast.io or TTY 711 (Relay).

This employer participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.