Medical Billing Specialist

Medical Billing and Coding Specialist

Location: Southlake, TX
Job Type: Full-Time, In-Person

We are a busy and growing pediatric orthopedic practice seeking an experienced Medical Billing and Coding Specialist to join our team. The ideal candidate is detail-oriented, self-motivated, and able to work independently while maintaining a high level of accuracy and professionalism.

This position plays a critical role in ensuring timely claim submission, accurate coding, effective accounts receivable management, and optimal reimbursement from insurance carriers.

Essential Duties and Responsibilities:

• Review and accurately code medical services using CPT, ICD-10-CM, and HCPCS codes.
• Submit electronic claims through clearinghouses and payer portals.
• Post insurance and patient payments accurately and timely.
• Investigate and resolve claim denials, rejections, underpayments, and appeals.
• Follow up on outstanding insurance balances and aging accounts receivable.
• Review EOBs and ERAs to ensure proper reimbursement.
• Conduct billing and coding audits to identify and correct errors.
• Communicate with insurance companies regarding claim status and payment issues.
• Maintain compliance with payer guidelines and billing regulations.
• Collaborate with providers and staff to ensure accurate documentation and coding.
• Assist with other revenue cycle functions as needed.

Qualifications:

• Minimum of 2 years of medical billing and coding experience required.
• Strong knowledge of CPT, ICD-10-CM, HCPCS, and medical terminology.
• Experience with electronic health records (EHR) systems and medical billing software.
• Knowledge of commercial insurance.
• Strong understanding of claim submission, payment posting, denial management, and accounts receivable follow-up.
• Excellent organizational, analytical, and problem-solving skills.
• Ability to manage multiple priorities and meet deadlines.
• Strong attention to detail and commitment to accuracy.
• Excellent written and verbal communication skills.

Preferred Qualifications:

• CPC certification or equivalent coding certification.
• Orthopedic or pediatric specialty billing and coding experience.
• Experience working in a high-volume medical practice.

What We Offer:

• Competitive pay based on experience
• Paid time off
• Health insurance benefits
• Supportive team environment
• Opportunity to work in a well-established pediatric orthopedic practice

Qualified candidates must be able to work on-site at our Southlake office. Remote work is not available for this position.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Education:

• High school or equivalent (Required)

Experience:

• Medical collection: 2 years (Required)

Work Location: In person