Full-Time Medical Billing Specialist – Hybrid position

About Practivity

Practivity is a growing practice administration service organization dedicated to empowering independent practices, outpatient facilities, and physician groups to provide high-quality patient care. We help independent healthcare providers streamline operations through expert administration and advanced tools. We foster innovation, efficiency, and growth, offering a dynamic opportunity to make a lasting impact.

Position Overview

We are seeking a detail-oriented and experienced Medical Billing Specialist to provide full-time support for our growing practice administration services company. This role involves managing the full billing cycle, including accurate claims submission, timely follow-up on unpaid claims, and resolution of billing issues across multiple payers and specialties. The ideal candidate is self-motivated, highly organized, and skilled in medical billing, with a strong understanding of industry standards and payer requirements. You will collaborate with our internal team and physician clients to help ensure efficient, compliant, and optimized revenue cycle operations.

Key Responsibilities

· Accurately prepare, review, and submit electronic and paper medical claims to Medicare, Medicaid, and commercial insurance carriers

· Verify patient insurance coverage and eligibility prior to claim submission when necessary

· Monitor accounts receivable and perform timely follow-up on unpaid or denied claims to ensure maximum reimbursement

· Identify and resolve billing errors, denials, and discrepancies through appeals or corrections

· Post payments and adjustments from explanation of benefits (EOBs), electronic remittance advice (ERAs), and patient payments

· Communicate with insurance companies, patients, and physician offices to clarify information and resolve outstanding issues

· Maintain up-to-date knowledge of payer policies, coding guidelines, and industry regulations

· Generate and share billing reports or summaries for internal use and client review as needed

· Protect patient confidentiality and comply with HIPAA and all applicable laws and regulations

· Provide recommendations for process improvements to enhance billing workflow efficiency

Day-to-Day Expectations

To give you a better idea of what this role entails, here’s what a typical day may look like:

Morning:

Review communications from payers, clients, and internal team for urgent issues or claim updates. Log in to clearinghouse platforms to address any claim rejections. Enter and submit medical claims generated while ensuring completeness.

Midday:

Contact payers regarding ageing claims or denials and document follow-up efforts. Prepare and submit appeals for claims denied due to errors, missing information, or payer issues. Enter payments and adjustments from ERA/EOB files into the billing system.

Afternoon:

Generate patient statements, respond to billing questions, and resolve account issues or payment arrangements. Check in with team members and clients.

Ongoing:

Identify recurring payer issues or workflow gaps and suggest process improvements. Stay updated on payer rule changes, ICD/CPT updates, and HIPAA compliance requirements. Assist in maintaining accuracy in patient demographics.

Required & Preferred Skills

Required Skills:

· Proficiency in medical billing

· Experience with electronic claim submissions

· Strong understanding of revenue cycle

· Working knowledge of payer guidelines

· Experience with electronic health records

· Excellent attention to detail

· Strong organizational and time management skills

· Ability to work independently and manage priorities

· Clear written and verbal communication skills

· Knowledge of HIPAA regulations

· Ability to interpret EOBs/ERAs

Preferred Skills

· 3 years of experience in medical billing

· Familiarity with remote billing environments

· Experience with patient collections

· Basic understanding of medical terminology

· Experience working with independent physician practices

· Knowledge of audit and compliance standards

· Experience with Advanced MD and AthenaOne

Benefits of Working with Us:

· 401k plan

· Medical, Dental, and Vision insurance

· Paid time off

· Growth potential – Opportunity for professional development as we grow

· Hybrid position – We provide a computer for you to work remotely

· Collaborative environment – Work with like-minded professionals in medical practice administration

Career Growth & Advancement:

We are not just hiring for today—we are looking for someone who wants to grow with us. As our client base expands, so will the billing department, and we want this hire to be part of that journey.

This position has the potential to evolve within our team, allowing you to take on new responsibilities as the company grows.

Work Structure & Compensation

· Hybrid position, with company-provided device.

· Full-time position.

· Occasional meetings with the team or clients as needed.

· Competitive hourly rate, commensurate with experience and education.

Next Steps (Hiring Process & Timeline)

· Initial Screening – We will review applications and reach out to qualified candidates.

· Video Interview – A 30-minute virtual meeting to discuss your experience and qualifications.

· Skills Assessment – Detail how you would handle a hypothetical task.

· Final Interview – A conversation with leadership to assess fit for our growing team.

· Offer & Onboarding – If selected, we’ll provide everything you need to get started!

How to Apply

If you are an experienced medical billing professional looking for a flexible, growth-oriented role, we’d love to hear from you!

To apply, please submit:

· Your resume with two professional references

A brief cover letter outlining your experience, availability, and why you’d be a great fit for our growing company

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Work Location: Remote

Salary : $20 - $25