Billing Coordinator in Washington, District of Columbia at Skills on the Hill LLC

Skills on the Hill is a pediatric therapy practice with locations in Washington, D.C. and Arlington, VA that specializes in supporting and empowering children and families to climb to their fullest potential. We are seeking a Billing Coordinator to work as a part of our stellar administrative team, specifically our Revenue Cycle Manager, Benefits Assistant, and our On-Site Team (Administrative Manger and Office Coordinators).

We're looking for one person — a real one — who knows that great billing is part detective work, part diplomacy, and part stubborn refusal to let dollars slip through the cracks. If chasing down a payer for the third time makes you smile because you know you're going to win, keep reading.

Skills on the Hill (SOTH) is a pediatric therapy practice with offices in Washington, D.C. and Arlington, VA. We provide occupational, physical, and speech-language therapy to children and families who deserve our absolute best — every single day. Behind every clean claim and accurate balance is a kid getting the services they need. We take that seriously, and we have fun doing it.

Our team is energetic, dynamic, and high-accountability. We value integrity, teamwork, flexibility, problem-solving, and the kind of grit that doesn't quit when something gets hard.

The unicorn. The one who:

• Owns problems all the way to resolution — not "I sent the email," but "I sent the email, then called, then escalated, then got it done."
• Follows up like a pro — professional, persistent, never apologetic about asking for what we're owed.
• Thrives in remote work — self-managed, organized, communicative, doesn't need someone watching to stay on task.
• Loves a clean account — accuracy, attention to detail, and quiet satisfaction when the AR shrinks.
• Asks "why?" and brings ideas — not waiting to be told.

In the spirit of saving us both time:

• If you describe yourself as "not a phone person" — this isn't your role.
• If you avoid hard conversations or shrink under pushback — this isn't your role.
• If you need to be told the same thing twice — this isn't your role.
• If "I followed up once and didn't hear back" feels like a complete sentence — this really isn't your role.

• Submit claims accurately and on time
• Post payments — personal payments, EFTs, EOBs — and keep balances clean and current
• Chase down outstanding balances (insurance and patient) with professionalism and persistence
• Partner with our Revenue Cycle Manager on A/R, denials, refunds, and credits
• Communicate with families about balances, statements, and questions with both kindness AND clarity
• Build positive working relationships with payor representatives
• Stay current on billing regulations and coding changes; share what you learn with the team
• Document procedures and contribute to cleaner, stronger systems
• Cross-train to back up the front desk when needed
• Show up for daily huddles and weekly billing meetings; respond to internal inquiries within one business day

• Full-time, fully remote position
• W-2 employment with a tight, supportive team
• A Revenue Cycle Manager who will set you up to win — not micromanage you
• Real ownership of your area
• A mission that matters — every claim you process supports a child receiving therapy

Benefits:

• Medical, dental, and vision insurance
• Short- and long-term disability coverage
• Company-paid life insurance
• 401(k) with company contribution
• Paid time off
• Company-provided computer and tech setup
• Continuing education stipend to keep your billing and coding knowledge sharp

(Benefits may vary based on full-time or part-time status.)

We get a lot of applications. The candidates who handle this part well are the ones we talk to.

Step 1. Submit your resume.

Step 2. In your cover letter, answer this question in 200 words or fewer:

Tell us about a claim, balance, or payer issue everyone else gave up on — but you didn't. What was the situation, what did you do, and what happened?

Step 3. At the very top of your cover letter, write this exact phrase: "I chase it down."

Applications missing the phrase or the answer will not be reviewed. We're not trying to be cute — we're testing whether you read carefully and follow instructions, because that is exactly what this job requires.

We can't wait to meet the right person.

Required:

• Excellent written and verbal communication
• Demonstrated track record in remote work (or strong evidence you can self-manage without a manager hovering)
• Comfort across multiple systems — EMRs, payer portals, Excel, communication tools
• Attention to detail you can prove with real examples
• The follow-up grit we keep talking about

Strongly preferred:

• Medical billing experience, especially in pediatric PT, OT, or speech-language pathology
• Familiarity with practice management software (we use Practice Pro — we'll teach it; what we can't teach is hustle)
• Experience with insurance verifications, EOB posting, secondary billing, and AR follow-up
• Associate's or bachelor's degree in healthcare administration, business, or related field
• High school diploma or equivalent required