Senior Medical Business Office Specialist

We are a very busy all female 4 OB/GYN physician practice that is located on the campus of the Memorial Hermann Memorial City campus. We have been in business for over 35 years. We are seeking an experienced and organized Senior Medical Business Office Specialist to assist in our business-office operations and full-cycle medical billing. In this role, you will act as the primary liaison between new patients, healthcare providers, and insurance companies to ensure a seamless patient experience and financial accuracy. You will be responsible for handling high call volumes, patient scheduling, onboarding new patients, verifying insurance benefits, coding, and participating in the end-to-end collections process. Key Responsibilities Patient Services & Intake Serve as the primary point of contact for new patients over the phone, managing high call volumes, addressing inquiries, and maintaining a welcoming, professional demeanor. Schedule, reschedule, and confirm patient appointments and procedures according to clinic protocols. Guide new patients through the intake process, collecting and inputting accurate personal, demographic, and medical history into the Electronic Health Record (EHR) system. Insurance Verification & Financial Clearance Verify patient insurance coverage, deductibles, and benefits prior to scheduled appointments and procedures. Calculate patient co-pays, deductibles, and out-of-pocket costs, communicating financial responsibilities clearly to patients. Obtain and document necessary pre-certifications and prior authorizations from insurance providers. Billing, Coding & Collections Perform accurate medical coding (ICD-10, CPT, HCPCS) for diagnoses and procedures, adhering to standard coding guidelines. Submit timely medical claims to insurance companies and track claims through the adjudication process. Identify, research, and resolve claim rejections, denials, or billing discrepancies, and prepare accounts for rebilling or appeals. Collect outstanding balances, co-pays, and payments directly from patients via established payment arrangements. Follow up on outstanding insurance accounts receivable (A/R) to ensure maximum, timely reimbursement.

Qualifications & Requirements Education:

High School Diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration or Business preferred.

Experience:

Minimum 3-5 years of experience in a medical office, clinic, or hospital business office setting.

Skills:

Proficiency in medical billing and coding (ICD-10/CPT). Strong familiarity with major insurance payors, CMS guidelines, and the Explanation of Benefits (EOB). Hands-on experience with Electronic Health Record (EHR) and medical practice management software. Exceptional phone etiquette and customer service skills.

Attributes:

Strong problem-solving abilities, high attention to detail, and a thorough understanding of HIPAA compliance and patient confidentiality. If you are looking for local opportunities in the Bunker Hill Village area, you can explore available roles or post this job on regional platforms such as Indeed.

If you would like to proceed, let me know: Is there a specific benefits package or salary range you would like me to add to this template? Are there specific EHR systems (e.g., Epic, eClinicalWorks) that this role requires? What certifications (such as CMAA or CPC) are preferred for your ideal candidate?

Pay:

$20.00 - $24.00 per hour

Benefits:

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

Work Location:

In person