Medical Billing Specialist

About the role

Addison Group is partnering with a growing pediatric healthcare organization seeking an experienced Billing Specialist to join its centralized billing team. This position is ideal for someone with strong medical billing, accounts receivable, collections, and revenue cycle experience who enjoys working in a fast-paced, high-volume environment and managing claims through the full billing lifecycle.

The Billing Specialist is responsible for handling full-cycle medical billing functions, including insurance verification, claim submission, payment posting, accounts receivable follow-up, collections, denial resolution, and patient account support. This role works closely with insurance carriers and patients to ensure timely reimbursement, accurate account management, and excellent customer service.

Responsibilities

• Verify patient insurance eligibility and benefits prior to claim submission.
• Prepare, scrub, and submit electronic and paper claims to insurance payers.
• Monitor claim status and perform claim corrections, resubmissions, and follow-up activities.
• Research and resolve denied, underpaid, and unpaid claims.
• Post payments, adjustments, and account transactions within the practice management system.
• Manage accounts receivable and collections activities to ensure timely reimbursement.
• Reconcile claims and payments while maintaining accurate billing records.
• Review CPT coding accuracy and support claim resolution efforts.
• Respond to billing inquiries from patients and insurance carriers.
• Generate patient statements and assist with payment plans and balance collection efforts.
• Maintain knowledge of payer contracts, fee schedules, and reimbursement guidelines.
• Provide in-person and over-the-phone customer service regarding billing-related concerns.

Requirements

• 2+ years of recent medical billing experience required.
• Experience with full-cycle medical billing, including claim submission, payment posting, AR follow-up, and collections.
• Strong understanding of healthcare revenue cycle management processes.
• Experience researching denials and resolving claim issues with insurance payers.
• Knowledge of insurance verification, eligibility, reimbursement, and billing procedures.
• Comfortable handling patient account inquiries both in person and over the phone.
• Strong attention to detail and ability to work efficiently in a high-volume environment.
• Excellent customer service, communication, and problem-solving skills.
• Experience with eClinicalWorks (eCW) is strongly preferred.

Benefits

This position is eligible for medical, dental, vision, and 401(k).

Pay

$20.00 - $25.00 per hour

Schedule

Monday–Friday, 8:00 AM – 5:00 PM (fully onsite)

Location

Germantown, MD 20874. Centralized Billing Department supporting multiple pediatric providers. Volume: approximately 150–200 claims per day and posting $100K+ in payments daily. Potential need to support the North Bethesda office up to 3 days per week within the next 6 months, with scheduling coordinated in advance.