Job Description
Job Description
Location: Virginia Beach, VA
Employment Type: Part time or Full-Time
The Opportunity
We are looking for a Medical Billing Specialist who is detail-oriented, motivated, and eager to grow. This role is a vital part of our Revenue Cycle Management (RCM) team, supporting patients, providers, and our business by managing the full claims cycle—from clean submission to final payment.
You’ll work closely with our front-end team, providers, and third-party billing partners while learning the ins and outs of insurance billing, denials, appeals, and patient financial support. This position is ideal for someone who enjoys problem-solving, thrives in multiple software systems, and wants to advance their career in healthcare finance and revenue management.
(Please note: this is an on sight, in office role in Virginia Beach, VA. Candidates seeking fully remote work will not be considered.)
What You’ll Do
- Insurance & Eligibility Verification: Obtain pre-authorizations, referrals, and verify patient eligibility for services.
- Claims Management: Submit and follow up on claims, corrected claims, and appeals.
- Denials & A/R Management: Investigate, appeal, and resolve denied claims; manage underpayments and accounts receivable aging reports.
- Payment Posting: Post payments, adjustments, refunds, and transfers of responsibility.
- Communication: Work with insurance companies, providers, and patients to resolve billing questions.
- Patient Financial Support: Set up payment plans, process monthly statements, and coordinate collections with a patient-centered approach.
- Front-End Collaboration: Ensure co-pays, deductibles, and self-pay fees are collected accurately.
- Credentialing & Contract Management: Support credentialing, payer contract updates, and EDI/EFT/ERA enrollments.
- System & Documentation Management: Maintain billing software accuracy, update fee schedules, and manage payer documentation.
- Compliance: Ensure all billing practices align with HIPAA and payer regulations.
What We’re Looking For
- Prior medical billing experience preferred (but we will train the right candidate)
- Strong attention to detail and accuracy
- Excellent communication skills with patients, providers, and payers
- Comfort working in multiple software systems (EHR, clearinghouses, payer portals, spreadsheets)
- Ability to prioritize tasks and meet deadlines
- Commitment to patient-centered service and confidentiality
Career Path & Growth
Growth opportunities within our Admin RCM department:
- Level 1 – Medical Billing Specialist (Entry): Learn systems, submit claims, post payments, follow up on denials.
- Level 2 – Medical Billing Specialist (Experienced): Take ownership of full claim lifecycles, denials, appeals, and collections.
- Level 3 – Senior Billing Specialist / Billing Lead: Mentor peers, manage audits, support credentialing, improve workflows.
- Level 4 – Revenue Cycle Manager: Lead the billing department, oversee contracts, analyze KPIs, and guide strategy.
Benefits of Working with Us
- Competitive hourly pay with opportunities for raises as you advance
- Career growth opportunities
- Supportive, collaborative team culture
- Exposure to multiple aspects of healthcare business operations
- A mission-driven company that helps people live healthier, more resilient lives
About UsAt Thrive Proactive Health, we’re more than a clinic—we’re a team of professionals dedicated to helping people move out of survival mode and truly thrive. Our multidisciplinary team blends physical therapy, chiropractic, acupuncture, massage, and fitness with proactive health practices. Behind the scenes, our admin team is the backbone that ensures financial accuracy, payer compliance, and an excellent patient billing experience.
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