Full Job Description Medical Billing Specialist Location:

Panorama Pediatric Group - 961 Panorama Trail S, Suite 1, Rochester

NY 14625

On-site position, not remote.

About Us :

Panorama Pediatric Group is a highly reputable private medical practice comprising of 9 physicians and 7 Advanced Practice Providers (APPs). We specialize in primary care for newborns to adolescents and provide exceptional patient care. We are seeking a highly organized and motivated professional to join our fast-paced pediatric practice. This role is essential to maintaining efficient front- and back-office operations. The ideal candidate thrives in a high-volume environment, demonstrates strong judgment, and provides compassionate, professional communication with families and team members.

Why You'll Love It Here:

We have a supportive, professional, team-oriented, positive environment You get to be a part of meaningful work helping children and families in our community There's never a dull moment - our work is engaging and challenging Our pay and benefits are competitive

Job Description:

The Medical Billing Specialist plays a vital role in supporting the financial and administrative operations of the practice. This position is responsible for insurance verification, self-pay collections, credentialing support, compliance, medical record processing and accurate data management within the electronic medical records (EMR) system. The ideal candidate is detail-oriented, highly organized, and capable of making sound decisions in a fast-paced healthcare environment.

Essential Job Functions/Responsibilities:

Perform insurance verification to confirm patient eligibility, benefits, and authorization requirements prior to services Manage and collect self-pay balances in a professional and patient-focused manner Assist with provider credentialing and re-credentialing processes, ensuring compliance with payer requirements Accurately enter and maintain patient and financial data within the EMR system Post payments, reconcile accounts, and ensure proper documentation of transactions Scan, index, and route documents into the EMR system in a timely and organized manner Manage medical records, ensuring accuracy, organization, and confidentiality Process and manage Release of Information (ROI) requests in compliance with privacy regulations, including tracking, fulfilling, and documenting requests in a timely manner Maintain and organize internal training documents and administrative records Provide administrative support including, but not limited to, scheduling, correspondence, and general office tasks supporting overall functionality of office operations Communicate effectively with patients, providers, insurance companies, and team members via phone, email, and in person Identify issues, think critically, and respond promptly with appropriate solutions Other duties as assigned

Qualifications:

Strong communication skills, including professional and courteous telephone etiquette Solid mathematical skills with the ability to handle financial transactions accurately Demonstrated critical thinking and problem-solving abilities Ability to assess situations quickly and make sound, independent decisions Strong attention to detail and organizational skills Ability to work both independently and collaboratively as part of a team Proficiency in Microsoft Office Suite (Word, Excel, Outlook, and Teams) Team oriented mindset with a willingness to support colleagues Experience with EMR systems preferred Familiarity of Medical Records processes, HIPAA, privacy laws and Release of Information procedures preferred

Essential Competencies:

Participate in departmental and Practice-wide staff meetings and other training in-service as assigned Demonstrate awareness of Practice mission, organizational goals, values, policies, and procedures; work effectively across departmental boundaries, represent the Practice in professional manner Carry out duties in a responsible professional and ethical manner Requires the ability to relate to people of diverse backgrounds, cultures, races, sexual orientations and gender identities or expressions

Skills and Abilities:

Ability to handle multiple projects and duties simultaneously while maintaining high levels of confidentiality and strict adherence to deadlines Ability to work with many interruptions Ability to analyze, interpret and draw inferences from research findings Knowledge of and ability to use proper English, spelling, punctuation, and grammar Excellent organizational skills and attention to detail Excellent verbal and written communication skills Excellent customer service skills and knowledge (both over the phone and in person) Ability to make administrative/procedural decisions and judgments Skill of persistence is needed when necessary Ability to examine documents for accuracy and completeness Ability to read, understand and follow oral and written instruction Ability to communicate effectively and work with others Knowledge of office billing practices, policies, and procedures Knowledge of medical terminology, ICD 10-CM and CPT coding Knowledge of the insurance industry

Education and Experience:

One year of experience in a medical office setting required. Experience with Medent and EMR preferred Physical Requirements Sedentary work, ability to sit for extended periods of time Manual dexterity for using an adding machine/calculator and computer keyboard Required to stand, sit, walk, use hands to finger, handle or feel; reach with hands and arms, talk and hear. Occasionally, the employee must stoop, bend and lift or move up to 25 lbs. Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus Ability to read data on the computer monitor and written documents Extensive use of computer software, typing and concentration

Work Environment & Expectations:

Fast-paced medical office setting requiring adaptability and efficiency Upholds a high level of confidentiality, professionalism and respect Commitment to accuracy, timeliness, and delivering excellent patient service Maintains a positive, supportive, and solutions-focused work cultur Represents the practice with empathy, compassion, and a patient-centered mindset Maintains business casual attire with a polished, well-groomed, professional appearance Shows up consistently with reliable attendance, a can-do attitude, and a willingness to take initiative Adds value through ideas, collaboration and a flexible, growth-oriented mindset Supports employee retention and long-term development to strengthen skills, elevate practice performance, and build organizational expertise

Job Type:

Full-time Pay:

$17.50 - $24.50 per hour

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance

Experience:

Medical Office Billing:

1 year (Required) Ability to

Commute:

Rochester, NY 14625 (Required)

Work Location:

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Medical Billing Specialist (1+ years experience)