Job Title: Medical Billing Specialist
Location: Houston, TX (Must be local to Houston)
Industry: Healthcare / Revenue Cycle Management
Pay: $19-$25 per hour (based on experience)
Benefits: This position is eligible for medical, dental, vision, and 401k.
About Our Client: Addison Group is partnering with a growing healthcare organization seeking a Medical Billing Specialist with strong professional and facility billing experience. This role is ideal for a detail-oriented billing professional who understands complex claim packaging, insurance guidelines, and technical claim correction.
Job Description: The Medical Billing Specialist is responsible for ensuring accurate and timely submission of medical claims to commercial and government payers. This position requires strong knowledge of CMS-1500 claim forms, insurance guidelines, claim packaging/bundling protocols, and resolving technical claim errors prior to submission.
This is a hybrid position requiring onsite work during the first 90 days, followed by a structured hybrid schedule.
Key Responsibilities: - Review and submit professional and facility claims for prompt reimbursement.
- Identify and resolve claim "loader" errors prior to submission.
- Work charge tasks and ensure all claim checklist requirements are cleared.
- Ensure proper packaging/bundling of services per contract and payer guidelines.
- File electronic and paper claims with appropriate documentation and attachments.
- Research and correct invalid or rejected claims.
- Maintain accurate documentation of filing activity and abnormal trends.
- Perform data entry of CMS-1500 claims and reconcile daily charge reports.
- Collaborate with providers and internal departments to ensure claim accuracy.
- Maintain organized storage of claim batches, EOBs, and supporting documentation.
- Ensure compliance with HIPAA and company confidentiality standards.
Requirements: - CPC or CPC-A certification highly preferred.
- Minimum 3+ years of recent medical billing experience.
- Strong professional (profee) and facility billing experience required.
- Experience working with CMS-1500 claims and packaging protocols.
- Knowledge of ICD-9/10 and CPT coding required.
- Strong understanding of insurance guidelines and the patient registration process.
- Experience correcting technical claim errors and working claim edits.
- Proficiency in Microsoft Word, Excel, email, and data entry systems.
- Stable work history required (tenure is important).
- Specialty experience in cardiology, radiology, or anesthesiology preferred but not required.
Additional Details: - Schedule: Monday-Friday, 8:00am-5:00pm
- Work Model:
- First 90 days: Onsite (Monday-Thursday)
- After 90 days: Hybrid (3 days onsite / 2 days remote)
- Dress Code: Business casual
- Start Date: ASAP
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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