Medical Billing Specialist

Job Title : Medical Billing Specialist (ProFee)

Location : Houston, TX 77040

Industry : Healthcare - Orthopedics / Pain Management

Pay : $21 - $25 / hour

Type : Direct Hire

Benefits : This position is eligible for medical, dental, vision, life insurance and 401k.

About Our Client :

Addison Group is currently partnering with a growing healthcare organization seeking experienced and detail-oriented Billing Specialists to join their expanding revenue cycle team. This role supports a thriving medical practice focused on pain management and orthopedics and offers long-term direct hire employment with hybrid flexibility after the first 6 months.

Job Description :

The Billing Specialist will be responsible for preparing, submitting, and tracking insurance and workers' comp claims, resolving billing issues, and ensuring claims are coded accurately based on documentation and payer guidelines. Strong knowledge of CPT / ICD-10 coding and professional billing (ProFee) experience is required.

Key Responsibilities :

• Review patient documentation to ensure proper coding using CPT, ICD-10, and modifiers
• Submit insurance claims electronically and by paper to government and commercial payers
• Work denials and claim rejections in a timely manner
• Maintain accurate and up-to-date billing records in the EMR system
• Resolve inconsistencies in account statuses and follow up on outstanding claims
• Communicate with internal teams to collect any missing information for billing
• Ensure compliance with billing regulations and payer-specific requirements

Qualifications :

Soft Skills :

Additional Details :

Perks & Benefits :

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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