The Billing & Collections Specialist works independently handling Medicare, Medicaid, local contracts, commercial insurance, and self-pay patients in accordance with CMS, AHCA, HRSA, and payer guidelines.
Key duties include daily charge entry for Athena processing, monitoring workflow dashboards and claims worklists, reviewing denial management reports, supporting special contract billing and eligibility verification, submitting claims according to payer requirements, assisting with insurance eligibility prior to appointments, answering patient billing and insurance questions, entering monthly lab charges, and updating patient accounts based on sliding fee eligibility.
Must have a high school diploma or GED. A college degree is preferred but not required.
Preferred qualifications include billing and coding certification, FQHC experience, and bilingual English/Spanish or Creole communication skills.
Experience required:
- Minimum 3 years of experience in medical billing and coding
- Minimum 2 years of experience with self-pay and third-party collections
Additional requirements:
- Level 2 background clearance
- Proof of required immunizations and screening, including Tdap, MMR, Hep B, varicella history or vaccine documentation, and PPD testing if applicable
Benefits mentioned by the employer include:
- Medical insurance
- Vision insurance
- Dental insurance
- Vacation leave
- Personal leave
- Sick leave
- Company-matched 401(k)
- Nine paid holidays
- Medical licensure reimbursement
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago