Job Description
Position Summary
We are seeking a detail-oriented Business Office Billing & Collections Specialist to support revenue cycle operations within a healthcare environment. This position is responsible for ensuring accurate billing, maximizing reimbursement, managing claims processing, resolving denials, and maintaining timely collections across multiple payer types. The ideal candidate will have experience in healthcare business office functions and a strong understanding of patient financial processes.
Key Responsibilities
- Process and submit accurate claims while ensuring billing and coding compliance.
- Review claims for authorization, eligibility, clean claim submission, and reimbursement accuracy.
- Monitor claim status through clearinghouses and payer portals and resolve claim edits or holds.
- Interpret insurance benefits and payer contracts to support reimbursement and collections efforts.
- Investigate and resolve denials, appeals, underpayments, and billing discrepancies.
- Perform accounts receivable follow-up and support month-end billing activities.
- Communicate with patients, providers, and internal departments regarding financial and billing matters.
- Maintain documentation within patient accounting systems and electronic health records.
- Generate reports and support ongoing revenue cycle performance initiatives.
- Deliver excellent customer service while maintaining confidentiality and HIPAA compliance.
Qualifications
- High School Diploma or equivalent required.
- Minimum 1 year of healthcare business office, medical billing, collections, or revenue cycle experience preferred.
- Knowledge of insurance verification, claims processing, reimbursement, and denial management.
- Experience using patient accounting systems, Microsoft Office, and Excel.
- Strong communication, organization, and problem-solving skills.
- Ability to work independently while collaborating in a team environment.
- Knowledge of medical terminology preferred.
Preferred Experience
- Healthcare billing and collections
- Accounts receivable follow-up
- Insurance claim processing
- Revenue cycle management
- Patient financial services
- Appeals and denial resolution
This position may support additional business office functions as operational needs evolve and requires flexibility in a fast-paced healthcare setting.
Numbers & Facts
| Location | San Antonio, TX |
| Industry | Staffing/Employment Agencies |
| Company Size | 100 to 499 employees |
| Website | https://www.prg-usa.com/ |
About Company
Established in 2001, Peyton Resource Group is a solution-based staffing company that matches businesses with top talent for short-term, long-term or permanent needs.
People are a business’s most valuable asset. Peyton Resource Group is dedicated to helping companies find the best talent, matching professionals with jobs where they will thrive.
With locations in Dallas/Fort Worth, San Antonio and Austin, we are available to serve your staffing needs throughout Texas and across the country.
Skills
- Accounting Softwareunmatched
- Accounts Receivableunmatched
- Billingunmatched
- Business Supportunmatched
- Claims Managementunmatched
- Claims Processingunmatched
- Communication Skillsunmatched
- Credit and Collectionsunmatched
- Customer Support/Serviceunmatched
- Detail Orientedunmatched
- Documentationunmatched
- Financial Servicesunmatched
- HIPAA (Health Insurance Portability and Accountability Act)unmatched
- Healthcareunmatched
- High School Diplomaunmatched
- Insuranceunmatched
- Insurance Claimsunmatched
- Medical Billingunmatched
- Medical Officeunmatched
- Medical Record Systemunmatched
- Medical Terminologyunmatched
- Microsoft Excelunmatched
- Microsoft Officeunmatched
- Operational Supportunmatched
- Problem Solving Skillsunmatched
- Reimbursementunmatched
- Reporting Skillsunmatched
- Revenue Managementunmatched
- Time Managementunmatched
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