Medical Billing Specialist / Denials Specialist

Next STEPS Worldwide•McKinney, TX

2d•Onsite

About The Position

Next STEPS Worldwide is a rapidly expanding outpatient clinic providing holistic psychological, therapeutic, and nutrition services across all age groups. We are seeking a Billing Specialist / Denials Specialist to join our billing and revenue cycle team in McKinney, TX. This role is critical in ensuring accurate claims processing, denial management, and account resolution. The ideal candidate will have strong attention to detail, a problem-solving mindset, and a passion for supporting a mission-driven organization that’s changing lives every day.

Requirements

High school diploma or equivalent (required)
Minimum 3 years of experience in medical billing and denial management (preferred in outpatient mental health or medical setting)
Strong working knowledge of CPT, ICD-10, and insurance billing procedures
Experience with electronic claim submission and payer portals
Proficiency in Microsoft Word and Excel
Excellent problem-solving, communication, and time management skills
Ability to work both independently and collaboratively in a fast-paced environment

Responsibilities

Review and manage denied or rejected insurance claims to ensure timely resolution and reimbursement
Identify patterns and root causes of denials and coordinate with internal teams to correct and prevent future errors
Submit corrected claims and appeal letters with appropriate documentation
Post and reconcile payments, adjustments, and write-offs in the EMR and billing system
Maintain a thorough understanding of payer-specific billing requirements, coding updates, and submission timelines
Collaborate with intake, clinical, and billing teams to ensure claims accuracy and completeness
Generate and maintain reports on denial trends and recovery outcomes
Support overall revenue cycle initiatives as assigned