Ocala Ear, Nose & Throat is seeking an experienced, detail-oriented Medical Billing & Patient Accounts Specialist to join the team. This role manages accounts from initial billing through insurance payment, patient responsibility, denial resolution, appeals, and final account resolution.
The position involves researching account issues, communicating with patients and insurance companies, identifying discrepancies, and following accounts through completion. It also includes working with older and legacy accounts, resolving outstanding balances, and supporting patient and insurance account resolution.
Requirements & Qualifications
Responsibilities
- Respond to patient questions by phone, text, and email
- Discuss patient balances, insurance responsibilities, payments, and account questions
- Research disputed balances and potential overpayments
- Prepare and send itemized statements
- Document patient communications and account activity
- Review, correct, and submit patient bills and insurance claims
- Identify billing errors, missing information, incorrect charges, and claim issues
- Perform physician/provider account audits
- Work denied, unpaid, and outstanding claims
- Submit corrected claims and appeals
- Follow up with insurance companies until claims are resolved
- Work with the insurance verification team regarding eligibility and benefits
- Contact insurance companies when information cannot be obtained through online portals
- Research missing or unpaid insurance payments
- Investigate insurance-related discrepancies affecting patient balances
- Process and post patient payments through BillGo
- Process mailed-in payments
- Research missing, misapplied, or incorrect payments
- Identify and escalate overpayment issues for appropriate claim review and correction
- Work older and legacy accounts
- Research historical billing, insurance, and payment activity
- Resolve outstanding patient and insurance balances
- Follow accounts through to completion
Preferred Qualifications
- 2+ years of medical billing, patient accounts, or revenue cycle experience
- Experience with insurance claims, denials, appeals, and accounts receivable follow-up
- Knowledge of medical terminology and insurance processes
- Experience communicating directly with insurance companies
- Experience with electronic medical records or practice management systems
- Experience with payment posting and reconciliation
- Experience with Mod Med is a plus
- CPC, CPB, CCA, or other medical billing/coding certification is a plus
Benefits & Perks
Benefits
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago