Pediatrix Medical Group · 2 hours ago
Billing Associate
Kingwood
Full-time
Onsite
Entry Level
2+ years expPediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. The Billing Associate is responsible for ensuring the accurate and timely processing of billing and medical claims within the ambulatory practice setting, supporting the revenue cycle and collaborating closely with various teams to ensure compliance with payer guidelines.
Health CareHospitalMedical
Responsibilities
Review reports, encounter forms, fee tickets, and medical records to accurately capture, enter or accept charges
Verify patient and insurance information before claim submission
Ensure all necessary documentation, authorizations, and codes are complete prior to claim submission
Validate accuracy of CPT, ICD-10, and modifier codes before claim submission
Post patient payments accurately in the practice management system
Balance batches and reconcile payments against system reports
Verify patient insurance eligibility and benefits prior to appointments or procedures
Obtain and document pre-authorizations and referrals required for specialist services
Communicate with patients and providers regarding coverage limitations and out-of-pocket costs
Maintain updated knowledge of payer-specific requirements and medical necessity policies for specialty procedures
Update patient records with accurate insurance and demographic information
Respond to patient billing inquiries courteously and professionally
Escalate billing discrepancies or issues to RCM as needed
Run, review, and work all daily, weekly, and monthly billing reports
Manage and resolve worklog tasks and claims manager edits, ensuring timely review, correction, and documentation
Assist with internal audits and quality control reviews of billing data
Participate in SOX review process and ensure unresolved items are addressed per policy
Ensure billing practices comply with HIPAA, CMS, and payer-specific regulations
Maintain confidentiality and secure handling of patient and financial data
Stay current with coding updates (ICD-10, CPT, HCPCS) and insurance billing guidelines relevant to the specialty
Identify trends in denials or claim errors and communicate recurring issues to the Billing Manager or Practice Administrator for process improvement
Coordinate with front-desk staff and clinical teams to resolve billing-related issues
Provide feedback to providers regarding documentation requirements for accurate billing
Participate in departmental meetings and contribute to process improvement initiatives
Assist with end-of-month reporting and reconciliation as needed
Qualification
Required
High school diploma or equivalent required
2+ years of medical billing experience, preferably in a specialist or ambulatory practice setting
Working knowledge of CPT, ICD-10, and HCPCS coding required
Strong understanding of commercial and government payer policies and claim workflows required
Excellent attention to detail, analytical, and problem-solving skills
Effective communication and customer service abilities
Preferred
Associate's degree or certification in medical billing and coding preferred
Proficiency with electronic health record (EHR) and practice management preferred
Benefits
Medical
Dental
Vision
Life
Disability
Healthcare FSA
Dependent Care FSA
HSAs
401k plan
Employee Stock Purchase Program
Company
Pediatrix Medical Group
Pediatrix Medical Group is a medical practice that employs neonatal, maternal-fetal, and pediatric subspecialists.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
James Swift, M.D., FAAP
Chief Executive Officer
Curtis Pickert M.D.
Chief Operating Officer
Recent News
2025-11-10
2025-11-07
MarketScreener
2025-11-03
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