Medical Billing Insurance A/R Specialist Job Type:

Full-time•Onsite only

Location:

Crystal River, FL Schedule:

Typically Monday•

Friday Wage:

DOE Join the Team at PedIM Healthcare! Delivering exceptional care, together.

Who We Are:

PedIM Healthcare is the first private medical office of its kind in Citrus County•offering top-quality care for children, adults, and seniors all under one roof. We provide pediatrics, adult internal medicine, family practice, geriatrics, women's care, medical weight-loss, sleep-medicine services and more. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties.

A values-driven environment:

we listen, we help, we understand—and we care.

Community-oriented and recognized:

voted \"best of the best\" in the region. Opportunity to make a meaningful impact by supporting patients over their full life span—from children to seniors. A workplace committed to employee development and delivering holistic care. Description The ideal Medical Billing Insurance A/R Specialist is a detail-oriented and motivated specialist with experience working insurance accounts receivable, resolving claim denials, and following up with insurance companies to ensure timely payment of claims. Requirements 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 Perform other duties as assigned.

Education/Experience Qualifications Minimum Education:

High School Diploma or GED 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) Experience working aging reports and high-volume claim follow-up Ability to improve workflow efficiency and identify billing issues proactively Knowledge of insurance appeal processes Employer conducts

Reference and Background Checks Soft Skills:

Attention to detail and organizational skills Ability to multitask and work independently in a fast-paced environment Communication and problem-solving skills Teamwork and professionalism

Application Instructions:

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