Claims & Billing Analyst

Independent Living Systems • Miami, FL

9d

About The Position

The Claims & Billing Analyst plays an essential role in ensuring the accuracy and efficiency of healthcare billing and claims processing at Independent Living Systems (ILS). The position analyzes, reviews, and resolves complex billing issues to optimize revenue cycle management. The analyst collaborates with healthcare providers and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements. By maintaining compliance with healthcare regulations and payer policies, the role helps minimize denials and payment delays and supports the organization’s financial health.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field; relevant experience may substitute for the education requirement on a year-for-year basis.
• Minimum of 2 years of experience in medical billing, claims processing, or revenue cycle management.
• Strong knowledge of healthcare billing codes, insurance claim procedures, and payer guidelines.
• Proficiency with billing software and electronic health record (EHR) systems.
• Excellent analytical, problem-solving, and communication skills.

Nice To Haves

• Master’s degree in Healthcare Administration, Business, Finance, or a related field.
• Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS).
• Experience working with Medicare, Medicaid, and private insurance claims.
• Familiarity with healthcare compliance standards such as HIPAA and the Affordable Care Act.
• Advanced skills in data analysis and reporting tools.
• Prior experience in a healthcare provider or insurance company environment.

Responsibilities

• Demonstrate commitment to the organization’s mission and model ILS Experience Standards of Excellence.
• Review and analyze healthcare claims for accuracy, completeness, and compliance with payer requirements.
• Investigate and resolve billing discrepancies and denials by coordinating with providers, payers, and internal teams.
• Prepare and submit claims to insurance companies and follow up on unpaid or rejected claims to ensure timely reimbursement.
• Maintain detailed records of claims processing activities and generate reports to track performance metrics and identify trends.
• Stay current with changes in healthcare billing regulations, payer policies, and industry best practices to ensure compliance.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time