Sr Medical Billing Specialist
OptiPeople Resources•Rockville, MD
•Onsite
About The Position
Our client is seeking a detail-oriented and motivated Senior Medical Billing Specialist to support the financial operations that make their mission possible — helping children and families thrive. You'll play a key role in ensuring that billing, claims, and payments are handled with precision, professionalism, and care. As a senior member of the billing team, you'll manage complex cases, guide colleagues, and help maintain the accuracy and efficiency that keep a multi-disciplinary pediatric practice running smoothly.
Requirements
- 5+ years of hands-on experience in medical billing, preferably in a therapy or healthcare setting
- Strong understanding of insurance verification, coding, pre-authorizations, claim submission, and appeals
- High attention to detail with strong communication and customer service skills
- Ability to manage sensitive information with professionalism and discretion
- Problem-solver who takes initiative and works well both independently and collaboratively
Nice To Haves
- Associate degree or certification in medical billing and coding
Responsibilities
- Prepare and submit accurate insurance claims for therapy services
- Monitor claim status, follow up on unpaid or denied claims, and work directly with insurance carriers to resolve issues
- Process secondary claims and coordinate billing for patient out-of-pocket expenses
- Verify insurance coverage, obtain pre-authorizations, and ensure proper documentation before services are provided
- Communicate with patients to explain balances, resolve billing questions, and assist with payment plans
- Reconcile accounts receivable and maintain organized records of billing activity, payments, and correspondence
- Support and guide other billing team members in handling complex or unusual billing situations
- Stay current with insurance and HIPAA regulations, sharing updates to ensure team compliance
- Collaborate with therapists, administrative staff, and leadership to streamline billing processes and improve efficiency
Benefits
- Medical, dental, and vision insurance (with HSA option)
- Company-paid life insurance and short-term disability
- 401(k) with employer match
- Generous paid time off and holidays
- Ongoing professional development and advancement opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
