Billing Coordinator

MedCare Pediatric • Stafford, TX

1d • $20 - $25

About The Position

MedCare Pediatric is seeking an experienced Billing Coordinator to join our centralized billing team. This role is ideal for a detail-oriented biller with a strong background in pediatric therapy and/or nursing services, and experience working with Texas Medicaid Managed Care Organizations (MCOs).

Requirements

• 1–3 years of billing experience in pediatric therapy and/or nursing services
• Experience working with Texas Medicaid MCOs and resolving denials
• Familiarity with authorization requirements, billing guidelines, and payer rules
• EMR experience (Raintree, KanTime, or similar) preferred
• Strong attention to detail, organization, and follow-through

Nice To Haves

• Experience with commercial insurance billing preferred
• EMR experience (Raintree, KanTime, or similar)

Responsibilities

• Review and process pediatric therapy and nursing services documentation to ensure accurate and compliant billing
• Submit claims after verifying authorizations, units, modifiers, place of service, and provider information
• Manage and resolve claim denials, including authorization discrepancies, unit issues, timely filing, and missing information
• Work denials and underpayments from Texas Medicaid MCOs such as Texas Children’s Health Plan (TCHP), Superior HealthPlan, WellPoint, Molina Healthcare, UnitedHealthcare Community Plan, and Community Health Choice
• Prepare and submit corrected claims, reconsiderations, and appeals in accordance with payer guidelines
• Handle commercial payer denials (Aetna, Cigna, Blue Cross Blue Shield of Texas, UnitedHealthcare, Tricare, Optum)
• Verify insurance eligibility and authorization details (units, frequency, date ranges)
• Collaborate with clinical and operations teams to resolve documentation issues and prevent future denials
• Utilize EMR systems such as Raintree, KanTime, or similar platforms

Benefits

• 90-day performance review with potential pay adjustment
• Opportunity for growth within a supportive, mission-driven organization

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees