Medical Biller

About Us

Physicians Revenue Group, Inc. is a fast-growing healthcare technology and revenue cycle management company with operations across the U.S. and internationally. We partner with medical and dental practices to manage the full billing and revenue lifecycle — helping providers focus on patient care while we drive financial performance on their behalf. We are seeking a detail-oriented, dependable, and experienced Medical Biller with a background in pediatric billing to join our growing team. This role will begin on-site for the first month during training and then transition to a hybrid remote schedule.

Position Summary

The Medical Biller – Pediatrics is responsible for accurate and timely billing, coding, and claim submission for pediatric physician practices. This role requires hands-on experience with eClinicalWorks (eCW) and a solid understanding of pediatric-specific billing requirements, including well-child visits, preventive care coding, vaccine administration billing, and EPSDT compliance. Ideal candidates are organized, self-directed, and committed to delivering clean claims and optimal reimbursement on behalf of our provider clients.

Key Responsibilities

• Review and analyze medical records, encounter notes, and provider documentation to ensure accurate and compliant billing
• Assign appropriate ICD-10, CPT, and HCPCS codes for pediatric diagnoses, procedures, and preventive services
• Accurately bill for well-child visits, sick visits, immunizations, and developmental screenings in accordance with payer guidelines
• Verify insurance eligibility and benefits prior to claim submission, including Medicaid and CHIP plan requirements
• Submit and track claims through eClinicalWorks; monitor claim status and resolve rejections and denials promptly
• Follow up with payers, providers, and patients to resolve billing discrepancies, missing documentation, or authorization issues
• Ensure compliance with HIPAA, EPSDT mandates, and all applicable federal and state billing regulations
• Maintain up-to-date knowledge of pediatric coding guidelines, payer-specific rules, and CMS updates
• Collaborate with internal billing team members to maintain clean claim rates and minimize AR aging
• Document all billing activities, follow-up actions, and payer correspondence accurately within eClinicalWorks

Required Qualifications

• Associate degree required; Bachelor's degree a plus
• 2–4 years of experience in medical billing, with at least 1 year in a pediatric or primary care outpatient setting
• Hands-on experience with eClinicalWorks (eCW) — required; must be able to navigate the platform independently from day one
• Working knowledge of Medicaid, CHIP, and commercial payer billing requirements for pediatric services
• Familiarity with EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) program billing requirements
• Strong understanding of medical terminology, anatomy, and pediatric-relevant CPT and ICD-10 coding
• High level of accuracy and attention to detail in claim preparation and documentation review
• Excellent verbal and written communication skills for payer and provider interaction
• Ability to work independently, prioritize tasks, and meet productivity and quality benchmarks
• Professional conduct and proven dependability in both in-person and remote work settings

Preferred Qualifications

• Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent medical billing/coding certification
• Experience billing for vaccine administration (CPT 90460–90461 series) and immunization schedules
• Familiarity with preventive care coding (CPT 99381–99395) and well-child visit documentation requirements
• Experience with multiple payer types: commercial, Medicare, Medicaid, and CHIP
• Prior experience working for a revenue cycle management (RCM) company supporting multiple physician clients
• Experience with billing portal navigation for major managed care and Medicaid payers

Benefits

• 401(k) with company match
• Medical, dental, and vision insurance
• Company-paid life insurance
• Paid time off (PTO) and holidays
• Hybrid remote flexibility after initial training
• Supportive team and opportunities for advancement

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• What compensation range are you targeting for this role?

Education:

• Associate (Required)

Experience:

• Medical billing: 2 years (Required)
• Pediatric Billing: 1 year (Required)
• eClinicalWorks: 2 years (Required)
• Medicare: 2 years (Required)
• Medicaid Billing: 1 year (Required)
• CPT coding: 2 years (Required)

License/Certification:

• Medical Billing Certification (Preferred)

Ability to Commute:

• Downers Grove, IL 60515 (Required)

Work Location: Hybrid remote in Downers Grove, IL 60515

Salary : $18 - $23