Medical Biller

Medical Biller 4.2 4.2 out of 5 stars 3250 Lacey Road, Downers Grove, IL 60515 Hybrid work $18

• $23 an hour
• Full-time Physicians Revenue Group 17 reviews $18
• $23 an hour
• Full-time About Us Physicians Revenue Group, Inc.

is a fast-growing healthcare technology and revenue cycle management company with operations across the U.S. and internationally. We partner with medical and dental practices to manage the full billing and revenue lifecycle — helping providers focus on patient care while we drive financial performance on their behalf. We are seeking a detail-oriented, dependable, and experienced Medical Biller with a background in pediatric billing to join our growing team. This role will begin on-site for the first month during training and then transition to a hybrid remote schedule. Position Summary The Medical Biller

• Pediatrics is responsible for accurate and timely billing, coding, and claim submission for pediatric physician practices.

This role requires hands-on experience with eClinicalWorks (eCW) and a solid understanding of pediatric-specific billing requirements, including well-child visits, preventive care coding, vaccine administration billing, and EPSDT compliance. Ideal candidates are organized, self-directed, and committed to delivering clean claims and optimal reimbursement on behalf of our provider clients. Key Responsibilities Review and analyze medical records, encounter notes, and provider documentation to ensure accurate and compliant billing Assign appropriate ICD-10, CPT, and HCPCS codes for pediatric diagnoses, procedures, and preventive services Accurately bill for well-child visits, sick visits, immunizations, and developmental screenings in accordance with payer guidelines Verify insurance eligibility and benefits prior to claim submission, including Medicaid and CHIP plan requirements Submit and track claims through eClinicalWorks; monitor claim status and resolve rejections and denials promptly Follow up with payers, providers, and patients to resolve billing discrepancies, missing documentation, or authorization issues Ensure compliance with

HIPAA, EPSDT

mandates, and all applicable federal and state billing regulations Maintain up-to-date knowledge of pediatric coding guidelines, payer-specific rules, and CMS updates Collaborate with internal billing team members to maintain clean claim rates and minimize AR aging Document all billing activities, follow-up actions, and payer correspondence accurately within eClinicalWorks Required Qualifications Associate degree required; Bachelor's degree a plus 2-4 years of experience in medical billing, with at least 1 year in a pediatric or primary care outpatient setting Hands-on experience with eClinicalWorks (eCW) — required; must be able to navigate the platform independently from day one Working knowledge of Medicaid, CHIP, and commercial payer billing requirements for pediatric services Familiarity with EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) program billing requirements Strong understanding of medical terminology, anatomy, and pediatric-relevant CPT and ICD-10 coding High level of accuracy and attention to detail in claim preparation and documentation review Excellent verbal and written communication skills for payer and provider interaction Ability to work independently, prioritize tasks, and meet productivity and quality benchmarks Professional conduct and proven dependability in both in-person and remote work settings Preferred Qualifications Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent medical billing/coding certification Experience billing for vaccine administration (CPT 90460-90461 series) and immunization schedules Familiarity with preventive care coding (CPT 99381-99395) and well-child visit documentation requirements Experience with multiple payer types: commercial, Medicare, Medicaid, and CHIP Prior experience working for a revenue cycle management (RCM) company supporting multiple physician clients Experience with billing portal navigation for major managed care and Medicaid payers Benefits 401(k) with company match Medical, dental, and vision insurance Company-paid life insurance Paid time off (PTO) and holidays Hybrid remote flexibility after initial training Supportive team and opportunities for advancement

Job Type:

Full-time Pay:

$18.00

• $23.

00 per hour

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Education:

Associate (Required)

Experience:

Medical billing: 2 years (Required)

Pediatric Billing:

1 year (Required) e

ClinicalWorks:

2 years (Required)

Medicare:

2 years (Required)

Medicaid Billing:

1 year (Required) CPT coding: 2 years (Required)

License/Certification:

Medical Billing Certification (Preferred) Ability to

Commute:

Downers Grove, IL 60515 (Required)

Work Location:

Hybrid remote in Downers Grove, IL 60515