Medical Billing Specialist (ON SITE in Virginia Beach)

The Role

We are looking for a Medical Billing Specialist to join our on-site Revenue Cycle Management (RCM) team in Virginia Beach. This is an on-site position only.

Key Responsibilities

• Insurance & Eligibility Verification
• Verify benefits and eligibility
• Obtain referrals and pre-authorizations as needed
• Claims Management
• Submit clean claims and corrected claims
• Track and follow up on unpaid or delayed claims
• Investigate and appeal denials
• Denials & Accounts Receivable
• Manage A/R aging reports
• Resolve underpayments and discrepancies
• Clock collection efforts as needed
• Payment Processing
• Post payments, adjustments, refunds, and transfers of responsibility accurately
• Patient Financial Communication
• Assist patients with billing questions
• Set up payment plans
• Manage monthly statements
• Credentialing & Enrollment Support
• Support EDI, EFT, ERA enrollments
• Aid with payer updates and contract documentation
• Compliance
• Maintain HIPAA compliance and payer regulatory standards
• Ensure billing documentation aligns with required guidelines

What We’re Looking For

• Prior medical billing experience preferred (we will train the right candidate with strong aptitude)
• Strong attention to detail and accuracy
• Comfortable working in EHR systems, clearinghouses, payer portals, and spreadsheets
• Ability to prioritize tasks and meet deadlines
• Clear and professional communication with patients, providers, and insurance companies
• Dependable and self-directed

Work Environment

• On-site role in Virginia Beach, VA
• Collaborative team environment
• Cross-functional work with front desk, providers, and leadership
• Exposure to multiple service lines within one organization

Career Growth

• We believe in building career advancement, not just filling roles.
• Growth pathway within our RCM department includes:
• Level 1 – Medical Billing Specialist (Entry)
• Learn systems, submit claims, post payments, follow up on denials.
• Level 2 – Medical Billing Specialist (Experienced)
• Manage full claim lifecycle, A/R, denials, appeals, and collections.
• Level 3 – Senior Billing Specialist / Billing Lead
• Support audits, mentor peers, improve workflows, assist with credentialing.
• Level 4 – Revenue Cycle Manager
• Oversee contracts, manage KPIs, guide department performance.
• Performance and initiative drive advancement.

What We Offer

• Competitive hourly pay (based on experience)
• Clear advancement pathway
• Supportive, accountable team culture
• Exposure to broader healthcare operations
• A mission-driven organization focused on proactive health and long-term patient outcomes