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Billing and Collections Specialist

Peyton Resource Group

San Antonio, TX

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JOB DETAILS
SKILLS
Accounting Software, Accounts Receivable, Billing, Business Support, Claims Management, Claims Processing, Communication Skills, Credit and Collections, Customer Support/Service, Detail Oriented, Documentation, Financial Services, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, High School Diploma, Insurance, Insurance Claims, Medical Billing, Medical Office, Medical Record System, Medical Terminology, Microsoft Excel, Microsoft Office, Operational Support, Problem Solving Skills, Reimbursement, Reporting Skills, Revenue Management, Time Management
LOCATION
San Antonio, TX
POSTED
5 days ago

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.

About the Company

P

Peyton Resource Group

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.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
WEBSITE
https://www.prg-usa.com/

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