Hospital Medical Biller Position Available In Hillsborough, Florida

Hospital Medical Biller 3.7 3.7 out of 5 stars Tampa, FL • Hybrid work Hospital Billing Specialist (Hybrid – Tampa Bay Area)

Start Date:

ASAP Work Arrangement:

Hybrid – Onsite once per week

Overview:

We are seeking a Hospital Billing Specialist with experience in hospital-based (HB) billing to join a growing team. This is a contract role with long-term potential, designed for a proactive, detail-oriented professional ready to contribute to a newly built team supporting complex hospital billing processes. Local candidates are preferred, and while some ramp-up and training can accommodate a greener candidate, prior HB billing experience is essential.

Location:

Tampa Bay area – must be local and able to transition to a hybrid schedule (onsite every other week after the initial ramp-up period). Equipment will be provided and must be picked up onsite on Day 1.

Key Responsibilities:

Review, prepare, and transmit electronic and hard-copy claims for all payors, including federal, state, and commercial insurers. Monitor, analyze, and resolve all claim edits and rejections in a timely and compliant manner. Communicate with coding and eligibility teams to resolve issues impacting billing. Work denials and rejections, identify billing errors, and take corrective actions. Submit secondary and tertiary claims when applicable. Ensure accurate claim processing according to current regulations, payer policies, and organizational procedures. Maintain documentation on billing activity and payer communications. Participate in projects, initiatives, and payer-specific research. Recommend and escalate potential process improvements. Cross-train and support other billing team members as needed.

Required Qualifications:

2+ years of recent Hospital Billing (HB) experience (not Professional Billing). 2+ years of claims processing and follow-up experience . Strong working knowledge of common billing edits, including: Edits sent back to coding Eligibility issues Payer-specific pre-emptive edits Modifiers and authorizations Experience using EPIC HB is strongly preferred; Cerner experience also valued. Familiarity with clearinghouses such as Waystar is a plus. Comfortable working independently without extensive oversight. Excellent organizational, communication, and documentation skills.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.