Billing Specialist Jobs in Virginia
Billing Specialist jobs in Virginia are consistently in demand, with a strong concentration in healthcare revenue cycle, government contracting, and legal services serving entry-level through senior billing professionals. Northern Virginia, Richmond, and Hampton Roads are the largest hiring metros, anchored by employers such as Inova Health System, Booz Allen Hamilton, and Sentara Healthcare. The most sought-after specialties in Virginia right now are medical billing and coding, federal contractor billing, and insurance claims processing. Find a role that fits below and apply directly.
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Bilingual Billing & Coding Specialist- (Spanish/English) – Fertility Clinic
Procreate Fertility Center of Virginia, Chesapeake
Part-Time
About Us
We are a growing, patient-centered fertility clinic dedicated to providing compassionate, high-quality care. Our team supports patients through every step of their journey—including the financial aspects of treatment.
Position Overview
Procreate Fertility Center of Virginia is seeking a detail-oriented and motivated Billing & Coding Specialist to join our billing team. This position will primarily focus on insurance claim follow-up, denials, and coding review to ensure claims are processed accurately and reimbursement is received in a timely manner.
This position will begin as part-time, with the potential to transition into a full-time position in the future as our practice continues to grow and the needs of the billing department expand.
The ideal candidate has experience in medical billing and insurance follow-up, is comfortable communicating with insurance carriers, and understands the importance of documenting every step of the claim process. Bilingual fluency in Spanish and English is highly preferred.
Key Responsibilities
- Follow up on outstanding and unpaid insurance claims.
- Review insurance Accounts Receivable (A/R) and prioritize claims based on age, balance, and timely filing deadlines.
- Contact insurance companies to obtain claim status and determine reasons for nonpayment or delays.
- Work denied, rejected, and underpaid claims and take the appropriate steps for resolution.
- Correct and resubmit claims when necessary.
- Prepare and submit appeals, reconsiderations, corrected claims, and supporting medical records.
- Review CPT, ICD-10, modifiers, and other billing information for accuracy.
- Identify coding or billing issues that may be causing claim denials.
- Verify payments, adjustments, and patient responsibility based on insurance EOBs.
- Document all insurance follow-up activity clearly and accurately in the billing system.
- Track claims requiring additional follow-up and ensure issues are resolved before timely filing or appeal deadlines.
- Communicate with providers and clinical staff when additional documentation or clarification is required.
- Review patient accounts and explain billing statements, insurance payments, adjustments, deductibles, coinsurance, copays, and outstanding balances in detail.
- Answer patient questions regarding charges, insurance processing, EOBs, and financial responsibility in a clear and professional manner.
- Collect patient payments and assist patients with resolving outstanding account balances.
- Process payments accurately and document payment activity appropriately in the patient's account.
- Assist Spanish-speaking patients with billing-related questions and payment needs when necessary.
- Provide clear and professional communication in both English and Spanish.
- Assist with other billing and revenue cycle responsibilities as needed.
Qualifications
- Previous experience in medical billing, coding, insurance claims, or patient collections preferred.
- Bilingual in Spanish and English.
- Ability to communicate professionally and clearly in both languages.
- Knowledge of CPT, ICD-10, modifiers, EOBs, insurance denials, and claim submission requirements.
- Experience working with commercial insurance, Medicare, Medicaid, and/or Tricare is a plus.
- Strong understanding of insurance claim follow-up and denial management.
- Comfortable reviewing patient accounts and explaining billing statements and insurance benefits in detail.
- Ability to confidently discuss patient balances and collect payments in a professional and compassionate manner.
- Ability to communicate professionally with insurance representatives, patients, providers, and team members.
- Strong organizational skills and attention to detail.
- Ability to manage multiple claims, patient accounts, and follow-up deadlines independently.
- Comfortable working with electronic medical records, billing software, clearinghouses, insurance portals, and payment systems.
- Medical billing or coding certificate is a plus but not required depending on experience.
- Successful completion of a background check and drug screening is required as a condition of employment.
What We Are Looking For
We are looking for someone who does more than simply check claim status. The right candidate will take ownership of assigned claims, investigate why payment has not been received, determine the next appropriate action, and continue following the claim until it is resolved.
This role also requires someone who is comfortable working directly with patients regarding their accounts. The ideal candidate should be able to review and explain billing statements in detail, help patients understand how their insurance processed their claims, explain their financial responsibility, and professionally collect outstanding balances and payments.
The ideal candidate is also comfortable assisting Spanish-speaking patients with billing questions and helping ensure communication is clear, professional, and compassionate in both English and Spanish.
Experience with fertility, OB/GYN, reproductive endocrinology, or specialty medical billing is a plus but not required.
Position: Billing Specialist – Claims Follow-Up
Department: Billing
Industry: Healthcare / Fertility & Women’s Health
If you are organized, persistent, detail-oriented, bilingual in Spanish and English, comfortable working directly with patients, and enjoy solving insurance billing issues, we would love to hear from you.
Reports To
- Billing Manager
Pay: $18.00 - $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
See All 33 Billing Specialist Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find Billing Specialist JobsBilling Specialist Jobs by City in Virginia
Where Virginia roles are concentrated, by current openings.
Billing Specialist Job Market in Virginia
A snapshot from current Virginia openings, updated as new roles post.
Who's Hiring

What Virginia Employers Look For
The qualifications that appear most often in billing specialist jobs across Virginia.
- Experience with medical billing software such as Epic, Meditech, or Cerner
- Knowledge of ICD-10 and CPT coding standards for healthcare billing roles
- Certified Professional Biller credential or Certified Coding Specialist preferred by many Virginia employers
- Proficiency in Microsoft Excel for reconciliation, reporting, and accounts receivable tracking
- Familiarity with federal contract billing regulations, including FAR and DFARS requirements
- Two or more years of accounts receivable or revenue cycle experience in a clinical or contractor setting
Billing Specialist Jobs in Virginia: Frequently Asked Questions
How do you become a billing specialist in Virginia?
Virginia does not require a state-issued license to work as a billing specialist, but most employers expect a high school diploma or associate degree alongside a nationally recognized credential such as the Certified Professional Biller from the American Academy of Professional Coders or the Certified Billing and Coding Specialist from the National Healthcareer Association. Healthcare-focused roles in Virginia increasingly expect familiarity with ICD-10 coding, while government contracting billing positions often look for candidates with federal acquisition regulation knowledge gained through coursework or prior agency work.
Which companies hire billing specialists in Virginia?
Employers hiring billing specialists in Virginia right now include Priority Patient Transport, ICF, and BBPCS, based on current listings on Migrate Mate as of September 2026. Virginia's concentration of major hospital systems, defense contractors, and law firms means steady, year-round demand for billing professionals with specialized industry knowledge.
Which Virginia cities have the most billing specialist jobs?
Richmond, Vienna, and Norfolk lead Virginia for billing specialist openings. Northern Virginia's density of federal agencies and defense contractors drives heavy demand there, while Richmond's large hospital systems and insurance headquarters sustain strong healthcare billing activity, and Hampton Roads benefits from its military installation footprint and associated healthcare and contracting employers.
Are there remote billing specialist jobs in Virginia?
Yes, and more than most fields. About 59% of billing specialist openings tied to Virginia are remote or hybrid as of September 2026, reflecting how well the role adapts to off-site work. Insurance claims review, medical coding, and accounts receivable functions are the most commonly offered in fully remote arrangements, particularly among large Virginia health systems and national insurance carriers with Virginia operations.
How can I get hired as a billing specialist in Virginia with little or no experience?
The most realistic entry path is starting as a billing clerk, patient access representative, or accounts receivable associate at a Virginia hospital or physician group, where on-the-job training in billing systems is standard. Large health systems like Inova, Sentara, and VCU Health regularly bring on candidates with no prior billing experience into their revenue cycle training programs. Earning a Certified Billing and Coding Specialist credential before applying gives candidates a measurable edge, and community colleges such as Northern Virginia Community College offer certificate programs that satisfy this requirement quickly.
Where can I find and apply to billing specialist jobs in Virginia?
You can find and apply to billing specialist jobs in Virginia on Migrate Mate, which lists current Virginia openings updated regularly. Search the available roles, find the ones that match your experience and preferred location, and apply directly to the employers posting them.
See All 33 Billing Specialist Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
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