Billing Representative

What You'll Do

Claims Management & Accounts Receivable

• Research and resolve denied, underpaid, and outstanding claims.
• Submit reconsiderations, appeals, and claim resubmissions as appropriate.
• Manage accounts receivable with a focus on aging balances and timely collections.
• Audit patient accounts across multiple systems to ensure accuracy, completeness, and compliance.
• Identify billing discrepancies and own accounts through final resolution.
• Maintain accurate documentation of account activity and claim status.

Collections & Provider Relations

• Follow up on outstanding balances with insurance carriers and other payers.
• Communicate with attorneys regarding litigated claims to obtain case updates and facilitate payment.
• Request Letters of Medical Necessity and supporting documentation from treating physicians.
• Build positive working relationships with internal teams, providers, and external partners.

Pre-Dispensing Verification

• Complete billing verification before medication is dispensed to ensure claims are clean and payable.
• Verify insurance coverage, authorizations, and required documentation.
• Collaborate with internal departments to minimize delays and support a seamless patient experience.

Who You Are

• Experienced in medical billing, pharmacy billing, accounts receivable, or healthcare revenue cycle management.
• Familiar with Liberty, DaisyBill, or similar pharmacy billing and accounts receivable systems.
• Skilled at researching and resolving complex billing issues across multiple platforms.
• Excellent communicator with strong verbal and written communication skills.
• Highly organized with exceptional attention to detail and strong time management skills.
• Able to prioritize competing responsibilities while managing aging accounts.
• Self-motivated and comfortable working independently in a fast-paced environment.
• Proficient in Microsoft Office, particularly Excel.
• Committed to accuracy, accountability, and exceptional service.

Benefits & Perks

• Health insurance: Florida Blue PPO or HSA plan, with company HSA contributions ($2K individual / $4K family).
• Dental and vision coverage through Delta Dental, Aetna, Guardian, and VSP.
• 401(k) with company match: contribute 6%, company contributes 3%.
• 15 days of PTO to start, with rollover, plus paid holidays.
• 8 weeks of paid parental leave.
• Free Employee Assistance Program for mental health, legal, and financial support.
• Company-paid life and AD&D insurance.
• Access to Working Advantage discounts on entertainment, travel, dining, and more.