Senior Medical Billing Specialist – Multi-Specialty (PM&R Focus)

Health Atlast West LaLos Angeles, CA
Onsite

About The Position

Health Atlast is seeking a seasoned Medical Billing Specialist with direct, hands-on experience billing PM&R-based services in an outpatient, multi-provider environment. This role requires a minimum of 3-5 years of recent medical billing experience in outpatient PM&R settings and proven billing experience in Physical Therapy, Chiropractic, Acupuncture, General Medicine, and Durable Medical Equipment (DME). The ideal candidate will have daily use of CPT, ICD-10, and HCPCS (timed codes included), demonstrated success with denial management, appeals, and AR follow-up, and strong payer experience with commercial, Medicare, and Medicare Advantage. This is not an entry-level billing or training role, and candidates with backgrounds limited to hospital billing, ambulance billing, pharmacy, psychiatry/behavioral health, sober living/substance abuse should not apply.

Requirements

  • Minimum 3–5 years of recent medical billing experience in outpatient PM&R settings
  • Proven billing experience in ALL or MOST of the following: Physical Therapy, Chiropractic, Acupuncture, General Medicine, Durable Medical Equipment (DME)
  • Daily use of CPT, ICD-10, and HCPCS (timed codes included)
  • Demonstrated success with denial management, appeals, and AR follow-up
  • Strong payer experience (commercial, Medicare, Medicare Advantage)
  • Experience with timed vs untimed codes and medical necessity
  • Ability to work independently without constant oversight
  • Takes ownership of outcomes, not just tasks

Nice To Haves

  • Detail-driven and process-oriented
  • Comfortable working in a fast-paced, high-accountability environment

Responsibilities

  • End-to-end claim submission for multi-disciplinary services
  • Aggressive follow-up on unpaid, underpaid, or denied claims
  • Root-cause analysis of denials with corrective action
  • Insurance eligibility and benefit verification
  • Accurate posting, reconciliation, and documentation
  • Patient billing communication when required
  • Maintain strict HIPAA and compliance standards
  • Collaborate with clinical and front-office teams to resolve billing gaps

Benefits

  • Employee discounts
  • Training & development
  • Wellness resources
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