Medical Billing and Insurance Specialist

TOMORROW HIRE • Reston, VA

6d • $54,080 - $62,400 • Onsite

About The Position

We are seeking an experienced, detail-oriented Medical Billing and Insurance Specialist to join a fertility center in Reston, Virginia. The role handles insurance verification, prior authorizations, medical billing, claims processing, payment posting, accounts receivable management, patient financial counseling, and collections. It also provides administrative support to help ensure efficient daily operations and a positive patient experience.

The position is on-site in Reston, VA, and is scheduled Monday through Friday, 7:30 AM–4:30 PM. Compensation is $26–$30 per hour, depending on experience and qualifications. The employer requires at least three years of medical billing experience and U.S. work authorization without employer sponsorship.

Requirements

• At least 3 years of medical billing experience.
• Experience with insurance eligibility verification, claims processing, prior authorizations, payment posting, and collections.
• Working knowledge of medical insurance billing procedures, reimbursement processes, and accounts receivable management.
• Experience communicating with insurance carriers to resolve unpaid or denied claims.
• Proficiency with medical billing software, electronic health records, and insurance portals.
• Strong organizational skills, attention to detail, and ability to manage multiple responsibilities.
• Excellent communication and interpersonal skills, particularly when discussing financial matters with patients.
• Ability to work on-site in Reston, VA, Monday through Friday, 7:30 AM–4:30 PM.
• Must be legally authorized to work in the United States without employer sponsorship, now or in the future.

Nice To Haves

• Previous medical billing experience in a fertility clinic, reproductive endocrinology practice, or reproductive medicine setting.
• Medical billing experience in an OB/GYN practice.
• Familiarity with fertility treatment coverage, insurance authorizations, and patient financial counseling.
• Experience using Lytec medical billing software.

Responsibilities

• Verify patient insurance eligibility, coverage, and benefits.
• Obtain prior authorizations for medical services and procedures.
• Post daily charges and prepare, submit, and mail insurance claims as needed.
• Retrieve Explanation of Benefits (EOBs) and Electronic Funds Transfer (EFT) information from insurance portals.
• Accurately post insurance payments to patient accounts.
• Investigate and resolve unpaid, rejected, or denied insurance claims.
• Generate and review accounts receivable aging reports.
• Contact insurance carriers to follow up on outstanding claims and payments.
• Maintain accurate billing records and documentation.
• Meet with patients to explain insurance coverage, financial responsibilities, and available payment options.
• Prepare, print, and mail patient billing statements.
• Follow up on outstanding patient balances and coordinate collection activities.
• Refer delinquent accounts exceeding 120 days past due for collections, in accordance with office procedures.
• Assist with collection-related court proceedings when required.
• Maintain accurate pricing sheets and patient financial records.
• Process incoming mail and prepare bank deposits.
• Answer incoming calls and assist with appointment scheduling.
• Support other administrative and office functions as needed.

Benefits

• Employer-provided health insurance coverage for the employee only, effective after the first 90 days of employment.
• 10 days of vacation.
• 5 sick days, accrued at approximately one day every 2.5 months.
• 5 major paid holidays.
• 401(k) retirement plan eligibility after one year of employment.
• Profit-sharing plan with a five-year vesting schedule.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed