Medical Billing Specialist

Join Our Team!
Pediatric Associates of Alexandria is looking for an experienced Medical Billing Specialist to join our growing practice. We're a busy pediatric office with three locations across VA area that depends on a sharp, dependable billing team to keep our revenue cycle running smoothly — and we know that starts with hiring the right person.
This role is ideal for someone who already knows their way around medical coding and billing and takes genuine pride in doing it well — someone who's organized, persistent, and comfortable owning a set of accounts from claim submission through final payment. If you're looking to move from a high-volume hospital system or billing company where you're one of many faces on a massive payer mix, this is a chance to do focused, visible work where your accuracy and follow-through are noticed and valued.
After successfully completing a hands-on 6 month training period in our office, you'll have the flexibility to work remotely.

What You'll Do
Claims & Payment Processing
•    Post insurance, patient, and credit card payments daily for your assigned payers.
•    Complete and submit claim forms and patient statements accurately and on time.
•    Manage the full claims submission process for your assigned payers, keeping error rates low.
•    Maintain organized records of electronic claims and patient statements, including transmission confirmations.
Follow-Up & Collections
•    Track every claim through to resolution — by phone, payer website, or written correspondence — until it's paid.
•    Monitor insurance payments against expected fee schedules to catch underpayments early.
•    Manage self-pay and uninsured patient accounts, including proactive follow-up and payment arrangements.
•    Resubmit or appeal unpaid and denied claims, and process accounts to bad debt when appropriate.
Analysis & Reporting
•    Identify payer trends or recurring non-payment issues and bring them to management's attention.
•    Process adjustments and refund requests with proper documentation.
Patient & Practice Support
•    Help patients understand their insurance reimbursement and account status with clarity and patience.
•    Identify patients who may qualify for financial hardship programs.
•    Stay current on payer policy changes that affect claim filing and turnaround times, including via payer-led trainings.
•    Maintain up-to-date written billing guidelines for each insurance carrier you manage.
•    Protect patient confidentiality in accordance with HIPAA and PAA policy at all times.

What You Bring
Required
•    Hands-on experience with medical coding and billing (CPT, ICD-10, and payer-specific claim requirements).
•    A track record of managing the full claims lifecycle, from submission through collections.
•    Sharp attention to detail — you catch errors before they become denied claims.
•    Strong organizational skills and the persistence to follow up on outstanding claims until they're resolved.
•    Strong conflict-resolution skills, with the ability to advocate firmly for the practice while still treating families with compassion
•    Ability to stay calm, clear, and professional when conversations with parents or payors become tense or frustrating
•    Comfort working independently and managing your own account caseload.

Preferred
•    Experience in a pediatric or primary care billing environment.
•    Familiarity with Electronic Medical Records (EMR) and practice management software.
•    Medical billing and coding certification (CPC, CBCS, or equivalent).