Role Name: Medical Billing Specialist with Administrative Support

Schedule:

• 20 hours/week, Flexible

Client Timezone: CST (Houston Texas)

Client Overview

Join a dynamic and growing medical practice that specializes in cutting-edge infusion therapy treatments. This newer practice, established just one year ago, is making a real impact on patients’ lives by providing specialized biologic infusion treatments. The practice is experiencing steady growth and expansion, creating an exciting opportunity to be part of a healthcare team that values quality patient care and operational excellence. You’ll work with modern technology systems and have the chance to grow alongside a practice that’s positioned for continued success in the evolving healthcare landscape.

Job Description

This is an exceptional opportunity for an experienced medical billing professional to take on a comprehensive role that goes far beyond traditional billing tasks. You’ll serve as the backbone of the practice’s revenue cycle management, handling everything from complex medical coding and claims processing to specialized infusion billing for high-value biologic medications. This position offers the perfect blend of technical expertise and administrative leadership, where you’ll manage the complete patient financial experience from initial benefit verification through final payment collection. Working with state-of-the-art EMR systems and supporting a practice that treats patients with life-changing therapies, you’ll play a crucial role in ensuring both operational efficiency and patient satisfaction.

Responsibilities

• Code physician-dictated medical notes with precision and submit claims through advanced EMR systems
• Proactively follow up on denied claims and implement resolution strategies to maximize reimbursement
• Generate comprehensive billing reports and maintain detailed payment tracking systems
• Manage prior authorizations for new patients, ensuring seamless treatment approval processes
• Conduct thorough insurance benefit verification and eligibility checks before patient appointments
• Create organized daily copay collection spreadsheets to optimize front desk payment processes
• Handle specialized billing and coding for complex biologic infusion medications including Remicade, Inflectra, and Tempro
• Maintain provider credentialing including CAQH profile updates and insurance payer communications
• Track and follow up on outstanding patient balances to ensure complete revenue collection
• Support general practice administration and help streamline operational workflows

Requirements

• Proven experience in medical billing and coding with demonstrated success in revenue cycle management
• HIPAA certification or commitment to obtain certification through provided training
• Strong preference for candidates with infusion billing experience and knowledge of biologic medication coding
• Proficiency with EMR systems (Athena experience preferred) or similar healthcare software platforms
• Advanced Excel skills and familiarity with administrative software (Zoho experience a plus)
• Comprehensive understanding of insurance verification, authorization processes, and claims management
• Experience with provider credentialing and enrollment processes highly valued
• Exceptional attention to detail with strong organizational and follow-up capabilities
• Excellent communication skills and ability to work independently in a remote environment