Medical Billing & A/R Specialist

MARGIOTTI & KROLL PEDIATRICSTrevose, PA
Onsite

About The Position

Margiotti & Kroll Pediatrics is currently seeking a highly motivated, reliable, and experienced Medical Billing Specialist to join our team! The ideal candidate will have a strong background in accounts receivable within a medical office or clinical setting. This full-time position offers a competitive salary commensurate with applicable experience and excellent benefits.

Requirements

  • High School Diploma/GED required.
  • 2-3 years of experience in a medical office or other relevant clinical setting, with essential accounts receivable experience, preferably in Pediatrics.
  • Strong understanding of medical terminology, including standard abbreviations, CPT, ICD-10, and HCPCS.
  • Ability to effectively interpret and post various payer EOB payments.
  • Enthusiasm and patient relationship focused – must be able to work with patients on the phone to resolve payment issues in a mutually satisfactory manner.
  • Proven dependability and reliability.
  • Discretion and professionalism - which is expected due to the exposure to sensitive operational and financial information.
  • Self-motivation and flexibility to handle tasks as they arise in addition to those already scheduled.
  • Demonstrated skills in problem solving, time management, and adaptability to a changing environment.
  • Proficiency in the following technologies: E-mail (Microsoft Outlook), Electronic Health Records (specifically Office Practicum), Microsoft Excel, Revenue Cycle Management Software (specifically Waystar).
  • Applicants must successfully pass a criminal background check.
  • Obtain PA Child Abuse History Clearance.

Nice To Haves

  • An undergraduate degree or college-level coursework in a related field is strongly preferred.
  • Certification as a professional coder (CPC, AAPC) is strongly preferred.
  • Excellent customer service skills and ability to communicate clearly and professionally to patients over the phone.
  • Ability to multitask and stay organized with accurate notes and records.
  • Experience with health IT systems, including running and interpreting reports, is desirable.

Responsibilities

  • Responsible for billing, charge entry, payment posting, eligibility, coverage, patient collections, and overpayment resolution.
  • Contact payers for appeals, documentation needs, reconsiderations, adjustments, claim corrections and any other activity that pertains to resolution of claim issues.
  • Complete follow-up of patient accounts to maximize reimbursement.
  • Monitor and execute work on assigned claims, A/R reports.
  • Ensure that all patient information is accurate and complete and request any missing patient information.
  • Interact with physicians to obtain billing and documentation clarification.
  • Resolve posting issues, manage remittance and all correspondence.
  • Maintain organized records and documentation.
  • Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding, and claim processing.
  • Strong attention to detail and ability to follow through on assigned responsibilities.
  • Work effectively with others and as a team member.
  • Answer patient inquiries regarding account status professionally, accurately, and timely; Maintain HIPAA confidentiality of patients.
  • Utilize health IT systems to generate and interpret necessary reports.
  • Handle and process medical billing tasks accurately and efficiently.
  • Provide excellent customer service to patients and internal staff.
  • Complete other duties/projects as assigned to help support the overall billing function.

Benefits

  • Paid time off
  • Paid holidays
  • 401(k) plan w/ Employer contribution
  • Health insurance
  • Dental insurance
  • Vision insurance
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