Experienced Medical Biller – Pediatrics & Women’s Health | In-Person

Potomac Pediatrics PC•Rockville, MD

76d•$27 - $33•Onsite

About The Position

We are looking for an experienced Medical Biller to join our in-house billing team supporting pediatric and women’s healthcare services. This is an excellent opportunity for a biller with a minimum of 3 years experience who is ready to expand their revenue cycle knowledge, take ownership of their work, and grow professionally in a collaborative healthcare environment. This is a 100% in-person position and is not remote or hybrid. All billing functions are performed internally by our team; we do not outsource our revenue cycle operations. Our billing team is an integral part of our organization, not a back-office function disconnected from the practices we support. Because our revenue cycle is managed entirely in-house, you will have the opportunity to understand and participate in the full life cycle of a claim, from initial submission through final resolution. You will also work with knowledgeable and approachable leadership that understands medical billing and practice operations. We believe strong employees should have opportunities to continue learning, develop new skills, ask questions, and advance professionally. Our leaders are accessible and willing to roll up their sleeves to do the work and help the team solve problems. If you are looking for an environment where you can learn, contribute, collaborate, and become a stronger revenue cycle professional, we would love to hear from you.

Requirements

Minimum of 3 years of hands-on medical billing experience
Solid understanding of professional physician billing and revenue cycle management
Strong knowledge of CPT, ICD-10-CM, modifiers, and professional claim billing
Experience working insurance denials, appeals, rejections, and A/R follow-up
Familiarity with commercial insurance plans and payer-specific billing requirements
Experience reviewing EOBs/ERAs and identifying incorrect or unexpected reimbursement
Strong attention to detail and organizational skills
The ability to research and independently work through complex billing issues
Professional and effective communication skills
A collaborative, team-oriented approach
A willingness to ask questions, share knowledge, and continue developing professionally
The ability to accept feedback positively and contribute to a supportive workplace culture

Nice To Haves

Experience with pediatric, OB/GYN, women’s health, surgical, or multi-specialty physician billing is strongly preferred.

Responsibilities

Preparing, reviewing, and submitting clean professional claims
Reviewing coding, modifiers, diagnosis information, and claim documentation for accuracy
Monitoring electronic claim submissions, rejections, and clearinghouse reports
Posting and reviewing insurance payments, adjustments, and denials
Working denied, rejected, and underpaid claims through resolution
Performing insurance follow-up on outstanding accounts receivable
Researching payer policies, reimbursement issues, and claim-processing requirements
Preparing and submitting corrected claims, reconsiderations, and appeals
Identifying trends in denials and reimbursement and helping develop solutions to prevent recurring issues
Reviewing patient accounts and assisting with balance resolution when appropriate
Communicating professionally with insurance companies, patients, providers, and other members of the healthcare team
Collaborating with clinical, front-office, and administrative staff to resolve billing and documentation issues
Helping ensure claims are worked accurately and timely from initial submission through final payment