Opportunity
PedsOne is a Vermont “Best Places to Work” company with a national team of remote billers. We provide best-in-class full RCM billing services for private pediatric practices located throughout the US.
We're looking for a results driven, Medical Billing expert who is well versed in the full revenue cycle and takes pride in managing AR with excellence. We offer a professional, merit based and highly collaborative environment where our focused, high-performing team of billers thrive on shared expertise and success.
Summary
This is an impactful role best suited for someone who is a self-directed problem solver, can manage complex billing issues, improve collections, and drive RCM performance.
Day-to-Day Responsibilities
- Start-to-finish billing from claims scrubbing to AR management
- Posting and reconciling insurance and patient payments
- Communicating with insurance companies regarding claim status and payment discrepancies
- Researching and resolving billing, coding, and payer-related issues
- Maintaining compliance with payer guidelines and billing regulations
- Supporting account managers and team leads with client-specific billing needs
- Monitoring aging (A/R) to ensure productivity and timely follow-up
- Assisting with month-end reporting and revenue cycle performance reviews
- Flagging coding or documentation issues
What We're Looking For:
- 8-10 recent years of medical billing experience in outpatient physician services
- Strong knowledge of medical billing and revenue cycle management (pediatric or primary care billing preferred)
- Ability to identify reimbursement trends and root causes of denials
- Strong track record of denial resolution and successful appeals management
- Familiarity with multiple commercial and government payers and use of portals
- Strong attention to detail and accuracy
- Professional communication with clients, providers, payers, and internal teams
- Prior experience working remotely
- CPC or CPB certification a plus
Work Environment Requirements
- A private, dedicated space to ensure HIPAA compliance
- Sufficiently high speed and reliable internet service to perform the job. Download speed: optimal 10-20 mbps. Upload speed: over 5 mbps. Latency: under 50 is ideal. (Anything above 100 ms will not work.) A speed test for these metrics is available at https://speedof.me/
Vermont Applicants
- This position is intended for candidates who reside out of state or outside of a reasonable commuting range. Local candidates are invited to apply for an onsite/hybrid position (3 days in office, 2 days remote).
- Benefits include free covered parking adjacent to our building, and financial incentives for clean commuting (public transportation, carpooling, etc.).
Benefits
- Health, vision, dental and short-term disability insurance
- CTO accrued from the 1st day of employment, beginning with 2 weeks
- 6 paid holidays with 5 additional paid days
- 3 paid days for personal emergency
- Paid time off for volunteer community service
- Paid parental leave
- Employee retirement account with 3% matching
- Employee Assistance Program
Application Instruction
Please include a resume and cover letter highlighting your experience and qualifications.
PedsOne is an E-Verify Employer
This Job Is Ideal for Someone Who Is:
- Dependable -- more reliable than spontaneous
- Detail-oriented -- would rather focus on the details of work than the bigger picture
- Autonomous/Independent -- enjoys working with little direction
Location: This is a U.S. based position. We are authorized to operate in the following states and welcome applications from candidates who reside in AZ, CO, FL, GA, KS, MI, NC, NJ, NY, PA, SC, TN, TX, or VT.
Company Description
PedsOne is a Vermont “Best Places to Work” company with a national team of remote billers. We provide best-in-class full RCM billing services for private pediatric practices located throughout the US.