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EXPERIENCE IS A MUST !

Experienced Pediatric Medical Biller – Full-Time

Windermere Pediatrics

Windermere Pediatrics is a small, independent pediatric practice seeking an experienced, full-time Pediatric Medical Biller to join our team.

This is NOT an entry-level billing position. We are looking for someone who already has hands-on medical billing experience and can confidently manage claims, denials, accounts receivable, payment issues, and insurance follow-up.

Completion of a medical billing/coding program or certification without actual hands-on billing experience does not meet the requirements for this position.

What You'll Be Responsible For

• Full-cycle medical billing for a pediatric practice
• Reviewing and submitting clean claims
• Working rejected and denied claims through resolution
• Insurance A/R follow-up and aging
• Correcting and resubmitting claims when necessary
• Payment posting and reconciliation
• Identifying underpayments and unpaid claims
• Communicating with insurance companies regarding claim issues
• Reviewing coding and billing for accuracy before submission
• Handling patient billing questions and account issues when necessary
• Identifying recurring billing problems and helping improve office collections
• Working closely with providers and office management to resolve billing issues

Pediatric Billing Experience

The ideal candidate should be comfortable with billing situations commonly encountered in pediatrics, including:

• Preventive/well-child visits
• Sick visits and E/M coding
• Same-day sick and well visits
• Modifier 25
• Vaccine billing
• Vaccine administration codes
• VFC and commercial vaccine billing
• Medicaid and managed Medicaid
• Commercial insurance plans
• Coordination of benefits
• Claim denials, corrections, and appeals

Required Qualifications

• Minimum 3 years of hands-on medical billing experience
• Experience working claims from submission through payment
• Strong experience with insurance denials and A/R follow-up
• Understanding of CPT, ICD-10, modifiers, and E/M billing
• Experience communicating directly with insurance companies
• Ability to independently investigate and resolve unpaid or incorrectly paid claims
• Strong attention to detail
• Dependable and organized
• Comfortable working independently without constant supervision

Strongly Preferred

• Previous pediatric medical billing experience
• Experience with PCC (Physician's Computer Company)
• Experience billing pediatric vaccines and vaccine administration
• Experience with Florida Medicaid/managed Medicaid and commercial insurance
• Experience working in an independent physician practice

PCC experience is preferred but not required for an otherwise highly qualified pediatric biller.

Schedule

• Full-time
• Monday through Friday
• May include approximately 1–2 Saturdays per month
• Must be dependable and available during scheduled working hours

Additional Office Responsibilities

We are a small independent practice, so teamwork is important. Although billing will be your primary responsibility, you may occasionally be asked to help with general office duties such as:

• Answering phones
• Scheduling appointments
• Patient check-in
• Covering during lunches or when another team member is unavailable

We are looking for someone who is willing to be part of the entire office team, not someone who only wants to work a billing queue.

Who Should NOT Apply

Please do not apply if:

• Your only experience is completing a medical billing or coding course
• You have no hands-on physician billing experience
• You have never worked insurance denials or A/R
• Your experience is primarily data entry without responsibility for claim resolution
• You are looking for an entry-level billing position

Why Work With Windermere Pediatrics?

We are a small, independent pediatric office that values our patients and our employees. We offer a friendly, relaxed work environment where team members know each other and everyone's contribution matters.

We want someone who can take ownership of our billing, communicate openly with management, and become a long-term part of our team.

PLEASE READ BEFORE APPLYING

To help us identify qualified applicants, please answer the following questions with your application:

1. How many years of hands-on physician/medical billing experience do you have?
2. How many years of pediatric billing experience do you have?
3. Have you personally worked insurance denials and A/R aging?
4. Have you billed pediatric vaccines and vaccine administration codes?
5. Have you billed same-day sick and well-child visits?
6. Have you previously used PCC (Physician's Computer Company)?
7. Which insurance payers have you worked with?
8. Briefly describe what you would do if a claim has been unpaid for 60+ days.

Applicants who do not meet the required hands-on billing experience may not be considered.

Windermere Pediatrics is a trusted pediatric practice dedicated to providing compassionate, high-quality medical care to children from infancy through adolescence. Located in the heart of Orlando's Metro West area, we focus on building lasting relationships with families while promoting the health and well-being of our young patients in a warm, supportive environment.