healthcare billing specialist

Rehabilitation Equipment Associates

Job SummaryREQ, a family owned Durable Medical Company in Manchester, is looking for a Billing Specialist to join our awesome Billing Team! The Billing Specialist plays a crucial role in the healthcare industry by ensuring accurate and timely billing processes.Candidate will work with insurance companies to ensure proper reimbursement, management and processing of accounts in a timely manner.<ul><li>Responsibilities include pre-authorization of benefits and eligibility, refiling claims, payer and client account follow-ups.</li><li>Review and analyze medical records for proper coding and billing.</li><li>Assign appropriate diagnostic and procedural codes.</li><li>Experience in medical office billing or collections is preferred.</li><li>Strong attention to detail and accuracy in data entry.</li><li>Excellent communication skills to interact with patients, providers, and insurance companies.</li></ul>On-the-job training provided. Candidate may submit resume.<ul><li>We are an Equal Opportunity Employer!</li></ul>Job Type: Full-timeBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Billing Representative

Frederick Primary Care Associates

<div><div><div><div><div>General Information

Company: Frederick Primary Care Associates, P.A.

Job Title: Medical Billing and Coding Specialist

Location: 610 Solarex Ct, Frederick, MD 21703

Contact: careers@fpca.net or 301-663-6162

Job Category: Billing

Date Posted: 4/13/2026

Hourly Pay: $21-23 per hour depending on experience

Additional Compensation: Annual bonuses (variable depending on office and performance)

Schedule: Full Time (5-8 hour shifts)

This position requires full-time, on-site attendance during the first 60 days of employment. Following this period, this role may have the opportunity to transition to a hybrid work arrangement, including one in-office day per week, based on performance. 


Description

The Billing Department at Frederick Primary Care Associates is seeking to expand its team of dedicated and professional specialists. As the healthcare landscape continues to evolve, we are looking for enthusiastic and experienced individuals who are eager to learn, adapt, and contribute to continuous improvements. Our goal is to maintain and enhance an environment that supports exceptional patient care. 


Medical Billing and Coding Specialist Essential Job Responsibilities:
<ul><li>
Enter CPT and ICD 10 codes accurately and expeditiously to ensure proper records handling</li><li>
Update patient demographic and insurance information as needed</li><li>
Assist and resolve patient inbound calls in a timely and courteous manner</li><li>
Responsible for processing any updated information for claims to reprocess and ensure timely payment</li><li>
Maintain constant professional communication with providers and other staff</li><li>
Other duties as assigned</li></ul>
</div>
</div></div></div>Medical Billing and Coding Specialist Minimum Job Requirements:
<ul><li>
High school diploma or equivalent; some college preferred</li><li>
Three (3) years of billing experience in a healthcare organization or setting</li><li>
CPC certification required</li><li>
Primary Care Billing experience required</li></ul> 


This position is eligible for the following benefits:
<ul><li>
Health Insurance (Single and Family)</li><li>
Dental Insurance (Single and Family)</li><li>
Vision Insurance (Single and Family)</li><li>
Vacation Accrual (2 weeks)</li><li>
Holidays (up to 6 days per year)</li><li>
Sick Leave (1 week/year - first year is prorated)</li><li>
Employer Paid Life Insurance, Short-Term Disability and Long-Term Disability</li><li>
401k w/ Employer Contributions</li></ul></div>

Medical Billing and Coding Specialist

Reliant Healthcare Group

<div><ul><li>This is NOT a remote position</li></ul> 


Healthcare Billing &ndash; ABA Therapy | Pediatric Therapy | Private Duty Nursing (PDN) 


Location: Katy, TX

Job Type: Full-Time

Reports To: Revenue Cycle Manager 


Job Overview

We are seeking an experienced Senior Revenue Cycle Specialist (RCM) to support advanced billing and revenue cycle operations for ABA therapy, pediatric therapy (OT/PT/SLP), and Private Duty Nursing (PDN) services. This is a hands-on, non-supervisory role focused on complex claims, authorizations, denials, and assigned RCM projects. 


Key Responsibilities
<ul>
<li>Execute end-to-end revenue cycle management: eligibility, authorizations, billing, AR follow-up, and collections</li>
<li>Handle complex billing for ABA services, pediatric therapy, and PDN</li>
<li>Submit and track claims with Medicaid, Medicaid MCOs, and commercial insurance</li>
<li>Manage denials, appeals, underpayments, and payer escalations</li>
<li>Monitor authorized units, frequency, and payer compliance</li>
<li>Work assigned accounts receivable (AR) and aging buckets</li>
<li>Support billing audits, payer reviews, and documentation requests</li>
<li>Own assigned RCM projects (workflow optimization, payer setup, EMR clean-up)</li>
<li>Collaborate with intake, scheduling, and clinical teams</li>
<li>Provide reporting and insights to the RCM Manager</li></ul> 


Required Experience
<ul>
<li>4+ years in healthcare revenue cycle, medical billing, or AR</li>
<li>Direct experience with ABA billing, therapy billing, or PDN billing a plus</li>
<li>Strong knowledge of Medicaid, MCOs, and commercial payors</li>
<li>Experience with authorizations, denials management, and appeals</li>
<li>Ability to work independently on complex billing issues</li>
<li>High attention to detail and strong problem-solving skills</li></ul> 


Preferred Experience
<ul>
<li>Multi-clinic or multi-service healthcare experience</li>
<li>ABA authorization and treatment plan billing knowledge</li>
<li>EMR / billing system experience</li>
<li>Bachelor&rsquo;s degree (preferred, not required)</li></ul> 


What We Offer
<ul>
<li>Competitive pay based on experience</li>
<li>Stable, growth-focused healthcare organization</li>
<li>Exposure to multiple service lines (ABA, therapy, PDN)</li>
<li>Professional development and advancement opportunities</li>
<li>Benefits including PTO, health insurance, paid holidays , and 401K</li></ul></div>

Senior Revenue Cycle Specialist (RCM)

Tampa General Hospital

<div><div>Pharmacy Billing Specialist - Outpatient Specialty - (260001CE)<div>
</div></div><div>
Description<div></div> 
The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third-party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. Additionally, the role involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. The specialist performs duties in alignment with TGH&rsquo;s mission, vision, and values.<div> 
</div></div><div>
Qualifications<div>
</div><ul><li>
Associate's Degree Relevant Field</li><li>
Registered Pharmacy Technician</li><li>
Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in 
lieu of degree.</li></ul><div>
</div></div><div>
Primary Location: Tampa</div><div>
Work Locations: TGH Main Campus 1 Tampa General Circle Tampa 33601</div><div>
Eligible for Remote Work: Hybrid Remote</div><div>
Job: Pharmacy</div><div>
Organization: Florida Health Sciences Center Tampa General Hospital</div><div>
Schedule: Full-time</div><div>
Scheduled Days: Monday, Tuesday, Wednesday, Thursday, Friday</div><div>
Shift: Day Job</div><div>
Job Type: Hybrid Remote</div><div>
Shift Hours: Day shifts 8am to 4:30pm Monday to Friday</div><div>
Minimum Salary: 43,180.80</div><div>
Job Posting: Mar 31, 2026, 9:15:20 AM</div></div>

Pharmacy Billing Specialist - Outpatient Specialty

<div>
 The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third-party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. Additionally, the role involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. The specialist performs duties in alignment with TGH&rsquo;s mission, vision, and values.
 
 
 <ul>
 <li>
 Associate's Degree Relevant Field
 </li>
 <li>
 Registered Pharmacy Technician
 </li>
 <li>
 Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in lieu of degree.
 
 
 </li>
 </ul>
 
 Primary Location
 
 
 
 Tampa
 
 
 
 Work Locations
 
 
 
 TGH Main Campus
 
 
 
 Eligible for Remote Work
 
 
 
 Hybrid Remote
 
 
 
 Job
 
 
 
 Pharmacy
 
 
 
 Organization
 
 
 
 Florida Health Sciences Center Tampa General Hospital
 
 
 
 Schedule
 
 
 
 Full-time
 
 
 
 Scheduled Days
 
 
 
 Monday, Tuesday, Wednesday, Thursday, Friday
 
 
 
 Shift
 
 
 
 Day Job
 
 
 
 Job Type
 
 
 
 Hybrid Remote
 
 
 
 Shift Hours
 
 
 
 Day shifts 8am to 4:30pm Monday to Friday
 
 
 
 Minimum Salary
 
 
 
 43,180.80
 
 
 
 Job Posting
 
 
 
 Mar 31, 2026, 10:15:20 AM
</div>

Bridging Gapss

Job Summary We are seeking a proactive and detail-oriented Medicaid &amp; MCO Billing Specialist to join our dynamic healthcare team. In this role, you will be responsible for managing the billing processes related to Medicaid and Managed Care Organization (MCO) claims, ensuring accurate and timely reimbursement for services rendered. Your expertise in medical coding, billing procedures, and healthcare regulations will be essential in optimizing revenue cycles while maintaining compliance with all relevant policies. This position offers an exciting opportunity to contribute to a mission-driven organization dedicated to delivering high-quality care and support to our community.Responsibilities<ul><li>Prepare and submit Medicaid and MCO claims accurately using appropriate coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.</li><li>Review medical records and documentation to ensure proper coding of diagnoses and procedures, maintaining consistency with medical terminology and coding guidelines.</li><li>Collaborate with clinical staff to verify the completeness and accuracy of medical records prior to billing.</li><li>Monitor claim status through Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, following up on unpaid or denied claims promptly.</li><li>Conduct medical collections by communicating effectively with insurance providers, patients, and other stakeholders to resolve billing issues.</li><li>Ensure compliance with healthcare regulations, payer policies, and documentation standards throughout the billing process.</li><li>Maintain detailed records of all billing activities, claim submissions, adjustments, and correspondence for audit readiness.</li></ul>Experience/Qualifications<ul><li>Minimum of 2+ years of experience in Medicaid and/or MCO billing</li><li>Experience working with healthcare and CLTS billing a must.</li><li>Strong knowledge of billing systems and claim processes</li><li>Certification in medical billing/coding (CPC, CBCS, or similar) is a plus</li><li>High attention to detail and strong organizational skills</li><li>Ability to work independently and meet deadlines</li><li>Prior experience in medical billing or medical office administration with a focus on Medicaid or MCO claims is highly preferred.</li><li>Strong knowledge of medical coding systems including CPT, ICD-9, ICD-10, DRG classifications, and ICD coding standards.</li><li>Familiarity with medical terminology, medical records management, and healthcare documentation practices.</li><li>Experience working with EMR/EHR systems for claim processing and record keeping.</li><li>Excellent understanding of healthcare reimbursement processes, insurance policies, and collections procedures.</li><li>Ability to interpret complex billing guidelines and ensure accurate application of coding principles in a fast-paced environment. Join us as a Medicaid &amp; MCO Billing Specialist to make a meaningful impact through precise billing practices that support quality patient care while advancing your professional expertise in healthcare finance!</li></ul>Pay: $18.00 - $22.00 per hourBenefits:<ul><li>Flexible schedule</li></ul>Work Location: In person

Medicaid & MCO Billing Specialist

CareSpot Urgent Care

<div><h1 class="jobSectionHeader">Position Summary</h1>
??The Revenue Cycle Specialist will be responsible for the day-to-day operation in the following areas: billing, Claims resolution, A/R follow-up, Credit Balance, EDI Billing, or Posting. Under the direction of the Manager the specialist will be responsible for handling all functions related to the designated area and any other duties assigned by management.???
<h1 class="jobSectionHeader">Duties and Responsibilities</h1>
<ul><li>??Responsible for claim submissions to Urgent Care payors in accordance with all insurance regulations and requirements.
</li><li>Process Urgent Care Payor credit card payments.
</li><li>?Provide all necessary documentation required by payors to resolve claim issues or denials, including medical records, prior authorizations, audits, etc.
</li><li>?Analyze and research all denials and over or under payments, with focus on Medicaid/Medicare.
</li><li>?Ensure all payor correspondence is reviewed and followed up on immediately.
</li><li>??Provide exceptional customer service and communication to payors and resolve any accounts receivable requests in a timely and accurate manner.
</li><li>?Communicate any issues to the Revenue Cycle Director\Management.
</li><li>Validate/Update unbilled Medicaid/Medicare unbilled charges, daily.</li>
<li>Act as the liaison between Omega and Centers for Urgent Care, Medicare and Medicaid focused, questions/issues.</li>
<li>Other duties and responsibilities as assigned.</li>
</ul>
?
?Please Note:?The list of responsibilities detailed above is not a comprehensive list, nor is it intended to be a list of all responsibilities and duties of the RCM specialist.?
<h1 class="jobSectionHeader">Experience, Skills and Education</h1>
<ul><li>??2+ years of relevant Healthcare billing experience within a healthcare facility or healthcare insurance company.
</li><li>?Deep understanding of medical billing rules and supporting documentation requirements for relevant Healthcare claims and remits.
</li><li>Medicaid and/or Medicare credentialing experience preferred, not required.</li>
<li>?Knowledge of ICD-10 and HCPC coding, modifiers, and other medical terminology.
</li><li>?Proficient with Microsoft Office, specifically Excel, Outlook, and Word.
</li><li>?NextGen experience a plus, but not a requirement.
</li><li>?High School diploma required.?</li>
<li>Ability to pass a Level II background screening and clearance through AHCA (Agency for Healthcare Administration) - https://info.flclearinghouse.com/</li>
</ul>
<h1 class="jobSectionHeader">Physical Demands</h1>
The physical demands and work environment characteristics described here are representative of those that must be met by a team member to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While working the essential functions of this job, the employee is occasionally required to stand, walk, sit, life, carry, use hands to handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk, hear and lift and/or move up to 40 pounds.
Work Environment
Admin - While performing the essential functions of the job the employee may be in office or work remotely dependent upon the company and/or department&rsquo;s policies.</div>

Specialist, Revenue Cycle - Onsite

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10000 healthcare billing specialist jobs Near Me

Billing Representative

Medical Billing and Coding Specialist

Senior Revenue Cycle Specialist (RCM)

Pharmacy Billing Specialist - Outpatient Specialty

Pharmacy Billing Specialist - Outpatient Specialty

Medicaid & MCO Billing Specialist

Specialist, Revenue Cycle - Onsite