Medical Billing Insurance A/R Specialist
PedIM Healthcare•Crystal River, FL
•Onsite
About The Position
PedIM Healthcare is seeking a detail-oriented and motivated Medical Billing Insurance A/R Specialist to join our growing healthcare team. The ideal candidate will have experience working insurance accounts receivable, resolving claim denials, and following up with insurance companies to ensure timely payment of claims.
Requirements
- Previous experience in medical billing and insurance A/R preferred
- Knowledge of Medicare, Medicaid, and commercial insurance billing
- Understanding of CPT, ICD-10, HCPCS, and modifier usage
- Experience with denial management and claim corrections
- Familiarity with EMR/EHR and billing systems (eClinicalWorks experience preferred)
- Strong attention to detail and organizational skills
- Ability to multitask and work independently in a fast-paced environment
- Excellent communication and problem-solving skills
- Experience working aging reports and high-volume claim follow-up
- Knowledge of insurance appeal processes
- Ability to improve workflow efficiency and identify billing issues proactively
- Strong teamwork and professionalism
Responsibilities
- Review and work insurance aging reports daily
- Follow up with insurance companies on unpaid, denied, or underpaid claims
- Research and resolve claim denials and rejections
- Correct and rebill claims as necessary
- Verify claim status, eligibility, authorizations, and payment information
- Post claim notes and maintain accurate account documentation
- Identify billing trends and report recurring issues to management
- Work closely with providers and staff to obtain needed documentation or corrections
- Ensure claims are processed in compliance with insurance guidelines and company policies
- Meet daily productivity and quality expectations
- Assist with payment reconciliation and identifying missing EOBs when needed
Benefits
- Health coverage + Sick-N-Well membership
- Health Savings Account (HSA)
- Life insurance
- Paid time off
- 401(k) plan + 4% company match
- Relax Scofa membership
- Employee Assistance Program (EAP)
- Employee Recognition Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
