Medical Billing Specialist

We are looking for a detail-oriented, highly organized, and motivated Medical Billing Specialist to join our team! The Billing Specialist will play a critical role in ensuring accurate billing, timely claims submission, insurance follow-up, and patient account management for our growing multidisciplinary pediatric therapy practice. If you thrive in a fast-paced healthcare environment and enjoy supporting families in accessing care, we’d love to meet you!

The Medical Billing Specialist will be responsible for managing the revenue cycle for therapy services, including Occupational Therapy (OT), Speech Therapy (ST), Physical Therapy (PT), Mental Health (MH), Psychology (PSY), and Applied Behavior Analysis (ABA). This position requires close attention to detail, knowledge of insurance billing practices (including Medicaid and private payers), and strong communication skills to work with families, therapists, and payers to ensure accurate and timely reimbursement.

Required Skills and Experience:

• High School Diploma or GED required; Associate's or Bachelor's in Health Administration or related field preferred
• Minimum 2 years of experience in medical billing, preferably in pediatric outpatient or behavioral health setting
• Strong understanding of healthcare billing codes, insurance verification, and authorization processes
• Familiarity with Medicaid and Managed Care Organizations (MCOs), including NC Medicaid
• Experience with EMR systems; knowledge of RainTree is a plus
• Proficiency with Microsoft Office and Google Workspace tools
• Strong organizational skills and attention to detail
• Ability to work independently and prioritize multiple tasks
• Excellent verbal and written communication skills
• Must uphold HIPAA compliance at all times

Essential Functions/Responsibilities:

(Other duties may be assigned)

• Submit clean and accurate claims to insurance companies (Medicaid, commercial plans, etc.) for OT, ST, PT, MH, PSY, and ABA services
• Follow up on unpaid or denied claims and resolve billing discrepancies
• Verify patient eligibility and benefits prior to initial appointments and at regular intervals
• Track and obtain insurance authorizations for ongoing therapy services
• Communicate with patients/families regarding account balances, billing questions, and payment plans
• Post payments, reconcile accounts, and generate patient invoices
• Maintain accurate billing records and support daily, weekly, and monthly reporting needs
• Collaborate with front desk staff and clinical team to ensure proper documentation for billing compliance
• Support annual audits and quality improvement projects
• Assist in updating billing procedures and workflows as insurance policies evolve

Why choose US: Imagine practicing therapy the way YOU want…surrounded by passionate colleagues, strong office support, and a culture that lets you put the client first. Joining Therapy Smarts means your experience and expertise will be valued. Opportunity to not only "love what you do" but to "do what you love" by creating a path for you to specialize in the areas that interest you the most. At Therapy Smarts, we take your passion and make it happen. Be a part of the team that values teamwork as well as individual team member goals, and have an Opportunity for growth within the company.

We are a fast-growing practice offering competitive compensation and flexible schedules, perfect for therapists with families. As a part of our dynamic team, all of our employees enjoy a FUN work environment where you can collaborate with top-notch therapists!

Benefits that set us apart- Exceptional earnings potential! One of the best you will find.

• Competitive salary with frequent bonus opportunities
• PTO (Paid Time Off) 
• Paid federal holidays 
• Up to 5 days off end-of-year shutdown
• Health, Vision, and dental insurance for full-time employees 
• Health Savings Account and Flexible Spending Account 
• Voluntary Life Insurance, Long Term Disability, and Short Term Disability 
• 401K 
• Mileage reimbursement 
• Yearly performance BONUS
• Referral BONUS
• Fun, multi-disciplinary setting with supervision and mentorship programs
• Positive company Culture
• Part of a work family that values its employees.
• Unlimited growth Opportunities- Opportunity for Leadership & Management positions and professional growth
• Trainings in areas of interest
• Comprehensive new hire training

Interested candidates should apply online or email [email protected]