Medical Billing Specialist

DistroLee County, FL
Onsite

About The Position

A growing multi-specialty medical practice specializing in podiatry and internal medicine is seeking an experienced and detail-oriented Medical Billing Specialist to support revenue cycle operations. The ideal candidate has strong knowledge of medical billing processes, insurance guidelines, and the ability to ensure accurate, timely reimbursement. Experience in podiatry and internal medicine is required. Compensation is commensurate with experience.

Requirements

  • Medical billing experience in podiatry and internal medicine.
  • Strong understanding of CPT, ICD-10, and HCPCS coding preferred.
  • Knowledge of insurance processes including Medicare, Medicaid, and commercial payers.
  • Experience with EMR/EHR and billing systems.
  • Strong attention to detail and organizational skills.
  • Excellent communication and problem-solving abilities.
  • Ability to work independently and manage multiple tasks efficiently.

Nice To Haves

  • eClinicalWorks (eCW) experience is a plus.

Responsibilities

  • Submit accurate and timely insurance claims (electronic and paper).
  • Review and resolve claim denials and rejections.
  • Prepare and submit appeals with proper documentation.
  • Perform claim scrubbing to ensure accuracy before submission.
  • Post insurance and patient payments accurately and reconcile accounts.
  • Verify patient insurance eligibility and benefits.
  • Obtain and manage authorizations and pre-certifications as needed.
  • Follow up on outstanding claims and aging reports to ensure timely reimbursement.
  • Communicate with insurance companies about claim status and discrepancies.
  • Maintain compliance with payer guidelines and regulatory requirements.
  • Collaborate with providers and office staff to resolve billing discrepancies.
  • Assist in identifying denial trends and implementing corrective actions.

Benefits

  • Competitive salary based on experience.
  • Paid Time Off (PTO).
  • Comprehensive benefits package (may include health, dental, and vision insurance).
  • Opportunities for professional growth and advancement.
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