The Accounts Receivable Billing Specialist processes medical billing claims of low to moderate complexity, collects patient and provider payments, resolves account issues, and processes patient refunds. The role also handles appeals, including redeterminations and resubmissions to patient payers.
- Scrub and submit claims to the clearinghouse
- Follow up on claims, denials, corrected claims, and appealed claims
- Review A/R balances and payment activity
- Respond to payer correspondence such as remittance advices, EOBs, and denial letters
- Communicate with patients, providers, and insurance companies regarding billing issues
- Maintain accurate account documentation and end-of-month reporting
- Review patient credits and assist with resolution
Requirements & Qualifications
Qualifications
- Minimum 1 year of medical insurance or healthcare billing and collections experience
- Strong understanding of medical billing, collections, payment posting, revenue cycle, third-party payers, Medicare, and Medicare Advantage
- Knowledge of CPT, ICD-10, procedural modifiers, claim forms, HIPAA, billing regulations, and appeal processes
- Experience with billing software and electronic medical records; ECW preferred
- Proficiency with PC and Microsoft Office, including Word, Excel, Outlook, and Teams
- Strong analytical, organizational, written, and verbal communication skills
- Ability to work independently and as part of a team in a fast-paced environment
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago