Billing Specialist

Billing Specialist

Pediatric Outpatient | Full-Time | Hagerstown & Frederick, MD

Join Our Team Video (https://www.pediatricmovementcenter.com/join-our-team!)

Company Overview

The Pediatric Movement Center (PMC) is a therapist-owned, pediatric outpatient clinic with locations in Hagerstown and Frederick, Maryland. We provide speech therapy, physical therapy, occupational therapy, developmental classes, and community programs to children and young adults up to age 21.

PMC is recognized for its award-winning culture, exceptional staff, and 4.5+ star client ratings. Our team is built on kindness, respect, integrity, collaboration, and a joyful, can-do attitude.

Position Summary

PMC is seeking a detail-oriented and reliable Billing Specialist to join our administrative team. The Billing Specialist will be responsible for managing the billing process, ensuring accuracy in invoicing and compliance with insurance policies, and maintaining our revenue cycle.

Key Responsibilities

• Track all claims submitted for payment.
• Collect all claims submitted for payment.
• Ensure the accuracy and completeness of all billing information.
• Follow up on unpaid claims within the standard billing cycle timeframe.
• Check each insurance payment for accuracy and compliance with contract discounts.
• Understand and manage all aspects of revenue cycle management, from patient registration to final payment.
• Resolve billing issues by coordinating with insurance providers and addressing patient inquiries.
• Process payments from insurance companies and maintain records of billing activity.
• Generate reports for management detailing accounts receivable status.
• Coordinate with Client Services staff of the collection of patient co-pays, co-insurance, deductibles, etc at the time of service.
• Perform accurate eligibility verification for patients.
• Submit both electronic and paper claims in a timely manner, ensuring all information is accurate and compliant with insurance standards.
• Review and resolve back-end edits and denials, submitting corrected claims and appeals as necessary.
• Complete pre-treatment and time-sensitive authorizations for services, ensuring timely
• Provide exceptional customer service to clients, answering inquiries related to billing, payment status, and insurance matters.processing.
• Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act (HIPAA) guidelines.

Qualifications

• High school diploma or equivalent; associate degree in Finance or related field preferred.
• Accurately post payments and adjustments in a timely manner to patient accounts.
• Some experience as a billing specialist in a healthcare setting preferred
• Strong knowledge of billing software and electronic medical records.
• Computer savvy
• Familiarity with insurance policies and compliance requirements.
• Excellent organizational and time management skills.
• An eye for detail
• Ability to work independently and manage multiple tasks in a fast-paced environment.
• Strong problem-solving skills and ability to handle complex billing issues.
• Knowledge of ICD-10, CPT codes, and other medical coding systems.
• Proficient in Google Docs, spreadsheets, and drive
• Strong communication skills to effectively interact with colleagues, insurance companies, and patients.
• Exhibit reliability, professionalism, a positive attitude, and strong attention to detail in all aspects of work.

Schedule & Location

• Full-Time
• Monday–Friday, flexible
• Hagerstown & Frederick, MD locations

At PMC we know our staff works hard. We believe that this hard work should be rewarded! As such, PMC believes strongly in supporting our staff and provides the following comprehensive benefit package:

Compensation & Benefits

• $18–$28/hour (based on experience)
• PTO accrued up to 5.54 hrs bi-weekly
• Up to 10 paid holidays
• Free CEUs + reimbursement and events
• Employer IRA contribution
• Health insurance (ICHRA)
• Employer-paid life insurance (30+ hrs)
• Employee Assistance Program
• Employee discounts & company events
• Potential for career advancement
• In-house mentoring

Why Join PMC?

Pediatric-focused outpatient setting
Supportive, family-oriented team culture
Therapist-led organization
Meaningful work with children and families

KIND WORDS FROM OUR STAFF:

Apply today to join a joyful, mission-driven pediatric therapy team where your work truly matters.

Work Location: In person

Pay: $18-$28/hr