Claim Operator Jobs in Reston, VA (NOW HIRING)

Full-Time | In-Person Position | Revenue Cycle Management

Are you an experienced medical biller who enjoys solving problems, digging into claims, and being part of a team where your knowledge and contributions are valued?

We are looking for an experienced Medical Biller to join our in-house billing team supporting pediatric and women’s healthcare services. This is an excellent opportunity for a biller with a minimum of 3 years experience who is ready to expand their revenue cycle knowledge, take ownership of their work, and grow professionally in a collaborative healthcare environment.

This is a 100% in-person position and is not remote or hybrid. All billing functions are performed internally by our team; we do not outsource our revenue cycle operations.

Our billing team is an integral part of our organization, not a back-office function disconnected from the practices we support. Because our revenue cycle is managed entirely in-house, you will have the opportunity to understand and participate in the full life cycle of a claim, from initial submission through final resolution.

You will also work with knowledgeable and approachable leadership that understands medical billing and practice operations. We believe strong employees should have opportunities to continue learning, develop new skills, ask questions, and advance professionally. Our leaders are accessible and willing to roll up their sleeves to do the work and help the team solve problems.

If you are looking for an environment where you can learn, contribute, collaborate, and become a stronger revenue cycle professional, we would love to hear from you.

As a Medical Biller, you will participate in full revenue cycle billing, including:

• Preparing, reviewing, and submitting clean professional claims

• Reviewing coding, modifiers, diagnosis information, and claim documentation for accuracy

• Monitoring electronic claim submissions, rejections, and clearinghouse reports

• Posting and reviewing insurance payments, adjustments, and denials

• Working denied, rejected, and underpaid claims through resolution

• Performing insurance follow-up on outstanding accounts receivable

• Researching payer policies, reimbursement issues, and claim-processing requirements

• Preparing and submitting corrected claims, reconsiderations, and appeals

• Identifying trends in denials and reimbursement and helping develop solutions to prevent recurring issues

• Reviewing patient accounts and assisting with balance resolution when appropriate

• Communicating professionally with insurance companies, patients, providers, and other members of the healthcare team

• Collaborating with clinical, front-office, and administrative staff to resolve billing and documentation issues

• Helping ensure claims are worked accurately and timely from initial submission through final payment

Our ideal candidate has a minimum of 3 years of hands-on medical billing experience and a solid understanding of professional physician billing and revenue cycle management.

Experience with pediatric, OB/GYN, women’s health, surgical, or multi-specialty physician billing is strongly preferred.

You should also have:

• Strong knowledge of CPT, ICD-10-CM, modifiers, and professional claim billing

• Experience working insurance denials, appeals, rejections, and A/R follow-up

• Familiarity with commercial insurance plans and payer-specific billing requirements

• Experience reviewing EOBs/ERAs and identifying incorrect or unexpected reimbursement

• Strong attention to detail and organizational skills

• The ability to research and independently work through complex billing issues

• Professional and effective communication skills

• A collaborative, team-oriented approach

• A willingness to ask questions, share knowledge, and continue developing professionally

• The ability to accept feedback positively and contribute to a supportive workplace culture

We take our work seriously, but we also believe people perform their best when they feel supported by the people around them. You will be joining a team where collaboration is encouraged, questions are welcomed, and leadership is accessible.

We are looking for someone who wants more than simply processing a queue of claims. We want a biller who is curious about why a claim denied, why reimbursement changed, and how we can improve the process going forward.

In return, you will have the opportunity to work alongside experienced healthcare leaders who understand the complexities of medical billing and are invested in helping their team continue to learn and develop.

Candidates should apply only if they are comfortable working in the office as part of our collaborative, in-house billing and revenue cycle team.

If you have built a strong foundation in medical billing over the last several years and are looking for an opportunity to broaden your revenue cycle expertise, work with supportive leadership, and become part of a knowledgeable and collaborative team, we encourage you to apply.

We are excited to meet experienced billing professionals who take pride in their work and want to continue growing with us.

Powered by JazzHR

kY2qFoK7fW