Billing Specialist

SynergenX Health Holdings LLC•Tomball, TX

3d•Onsite

About The Position

We are looking for a motivated and detail-oriented ONSITE ONLY Billing Specialist to join our growing team. This role is essential in ensuring the accuracy, efficiency, and timeliness of our medical billing operations. You will be responsible for managing the full lifecycle of claims—from charge entry to payment posting—while working closely with internal teams, patients, and insurance payers. This is a highly visible role that requires strong communication skills, critical thinking, and the ability to manage multiple priorities in a fast-paced healthcare environment.

Requirements

Previous medical billing experience (required)
Strong understanding of claims processing and denial management
Excellent attention to detail and accuracy
Ability to manage multiple tasks and meet deadlines
Strong verbal and written communication skills
Ability to work both independently and within a team
High School Diploma or GED required

Nice To Haves

Experience with commercial insurance payers
Familiarity with billing software systems
Knowledge of healthcare revenue cycle processes
1+ year of medical billing experience preferred (or equivalent combination of training and experience)

Responsibilities

Prepare, review, and submit accurate claims to commercial insurance payers (electronic and paper)
Ensure proper use of ICD-10, CPT codes, and modifiers during charge entry
Monitor claim status and proactively follow up on unpaid or delayed claims
Identify and resolve claim rejections and denials in a timely manner
Maintain detailed documentation of all billing activity and account updates
Post payments, adjustments, and reconcile accounts receivable balances
Investigate and resolve outstanding balances, focusing on claims over 60 days old
Work with patients to set up payment plans and resolve billing inquiries
Collaborate with payers and internal teams to resolve discrepancies
Ensure all billing practices comply with HIPAA and applicable federal, state, and local regulations
Maintain accuracy in billing records and internal controls
Support internal and external audits by providing necessary documentation
Stay up to date with payer rules and billing guidelines
Communicate effectively with providers, clinic staff, and leadership regarding billing issues
Partner with internal departments to ensure all billable services are captured
Participate in team meetings, training sessions, and cross-functional initiatives
Provide clear updates and accountability on assigned tasks and accounts
Identify inefficiencies or recurring issues and recommend solutions
Contribute to improving workflows, reducing turnaround times, and increasing accuracy
Support implementation of new billing processes, tools, or systems