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Job Title: Billing Specialist

Job Type: Full-Time

THE PMC DIFFERENCE

The Pediatric Movement Center (PMC) is a therapist-owned small business with locations in Hagerstown, MD and Frederick, MD. We are a community-focused outpatient clinic providing physical therapy, occupational therapy, speech therapy, developmental classes, and community events to children up to 21 years of age. PMC is proud of its exceptional staff whose hard work and dedication has resulted in numerous awards, nominations and recognition including: The Hub City Business Competition, Winner of The Hotlist, Best Medical Specialist, and Best Attraction for Kids to name of few! PMC has a 4.5+ star rating from our clients on all media platforms.

YOU WORK HARD...WE BELIEVE YOU SHOULD BE REWARDED!

At PMC we know our staff works hard. We believe that this hard work should be rewarded! As such, PMC believes strongly in supporting our staff and provides the following comprehensive benefit package:

Wage Range: $18-$28/hr

Paid Time Off: Up to 5.54 hrs earned bi-weekly

Holiday Pay: up to 10 paid holidays

Free CEU: free courses offered + reimbursement on approved coursework

Retirement: Employer contribution to IRA

Health Insurance: Individual Coverage Health Reimbursement Arrangement (ICHRA)

Life Insurance: Employer-paid life insurance (30 hours/wk+)

Employee Assistance Program: Employer-paid program

Employee Discounts: Employee discounts on PMC classes, activities and events.

Company Events: Employer sponsored events for our staff (and their families) to enjoy!

KIND WORDS FROM OUR STAFF:

"I'm truly at a loss for words for how quickly y'all have made me feel at home as a new employee. PMC is a true unicorn in its workplace culture and environment and I'm so grateful for the opportunity to work at PMC."

-Meghan T

"I love it here. PMC truly has a family feel to it--the staff is so encouraging, kind and the environment is very welcoming. That staff is there for each other and builds each other up. PMC is unlike any other place that I've ever worked. The icing on the cake is getting to work with amazing kids each and every day."

-Rachel A

"I love working at PMC because the staff is honest, hard working and encouraging. PMC supports its staff through its team oriented culture and family-focused environment that helps everyone reach their full potential."

-Jessica T

Job Summary: We are seeking a detail-oriented and reliable Billing Specialist to join our administrative team. The Billing Specialist will be responsible for managing the billing process, ensuring accuracy in invoicing and compliance with insurance policies, and maintaining our revenue cycle.

Responsibilities:

+ Track all claims submitted for payment.

+ Collect all claims submitted for payment.

+ Ensure the accuracy and completeness of all billing information.

+ Follow up on unpaid claims within the standard billing cycle timeframe.

+ Check each insurance payment for accuracy and compliance with contract discounts.

+ Understand and manage all aspects of revenue cycle management, from patient registration to final payment.

+ Resolve billing issues by coordinating with insurance providers and addressing patient inquiries.

+ Process payments from insurance companies and maintain records of billing activity.

+ Generate reports for management detailing accounts receivable status.

+ Coordinate with Client Services staff of the collection of patient co-pays, co-insurance, deductibles, etc at the time of service.

+ Perform accurate eligibility verification for patients.

+ Submit both electronic and paper claims in a timely manner, ensuring all information is accurate and compliant with insurance standards.

+ Review and resolve back-end edits and denials, submitting corrected claims and appeals as necessary.

+ Complete pre-treatment and time-sensitive authorizations for services, ensuring timely

+ Provide exceptional customer service to clients, answering inquiries related to billing, payment status, and insurance matters.processing.

+ Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act (HIPAA) guidelines.

Skills and Qualifications:

+ High school diploma or equivalent; associate degree in Finance or related field preferred.

+ Accurately post payments and adjustments in a timely manner to patient accounts.

+ Some experience as a billing specialist in a healthcare setting preferred

+ Strong knowledge of billing software and electronic medical records.

+ Computer savvy

+ Familiarity with insurance policies and compliance requirements.

+ Excellent organizational and time management skills.

+ An eye for detail

+ Ability to work independently and manage multiple tasks in a fast-paced environment.

+ Strong problem-solving skills and ability to handle complex billing issues.

+ Knowledge of ICD-10, CPT codes, and other medical coding systems.

+ Proficient in Google Docs, spreadsheets, and drive

+ Strong communication skills to effectively interact with colleagues, insurance companies, and patients.

+ Exhibit reliability, professionalism, a positive attitude, and strong attention to detail in all aspects of work.