Job Summary Ocala Ear, Nose & Throat is seeking an experienced, detail-oriented Medical Billing & Patient Accounts Specialist to join our team. We are looking for someone who understands the medical billing cycle and can confidently work accounts from initial billing through insurance payment, patient responsibility, denial resolution, appeals, and final account resolution. This position requires someone who is comfortable researching problems, communicating with patients and insurance companies, identifying discrepancies, and following an account through to completion. Responsibilities Patient Accounts & Communication Respond to patient questions by phone, text, and email Discuss patient balances, insurance responsibilities, payments, and account questions Research disputed balances and potential overpayments Prepare and send itemized statements Document patient communications and account activity Medical Billing & Claims Review, correct, and submit patient bills and insurance claims Identify billing errors, missing information, incorrect charges, and claim issues Perform physician/provider account audits Work denied, unpaid, and outstanding claims Submit corrected claims and appeals Follow up with insurance companies until claims are resolved Insurance Research Work with the insurance verification team regarding eligibility and benefits Contact insurance companies when information cannot be obtained through online portals Research missing or unpaid insurance payments Investigate insurance-related discrepancies affecting patient balances Payments & Reconciliation Process and post patient payments through BillGo Process mailed-in payments Research missing, misapplied, or incorrect payments Identify and escalate overpayment issues for appropriate claim review and correction A/R & Legacy Accounts Work older and legacy accounts Research historical billing, insurance, and payment activity Resolve outstanding patient and insurance balances Follow accounts through to completion

We're Looking For Someone Who Is:

• Experienced in medical billing and revenue cycle management
• Comfortable working insurance claims and denials
• Strong in accounts receivable follow-up
• Able to research complicated account issues independently
• Comfortable speaking with patients about account balances as well as insurance representatives
• Extremely detail-oriented and accurate
• Organized and able to manage a high volume of accounts
• Persistent with follow-up and problem-solving
• Professional when handling sensitive patient and financial information
• Able to work independently while collaborating with a team Preferred Qualifications 2+ years of medical billing, patient accounts, or revenue cycle experience Experience with insurance claims, denials, appeals, and A/R Knowledge of medical terminology and insurance processes Experience communicating directly with insurance companies Experience with electronic medical records/practice management systems Experience with payment posting and reconciliation Experience with Mod Med is a Plus CPC, CPB, CCA, or other medical billing/coding certification is a plus The Ideal Candidate We're looking for more than someone who simply posts payments or sends claims .

The ideal candidate is a problem solver who can look at an account and say: "Something isn't right here. Let me figure out why." You should be comfortable digging through the account history, reviewing claims and payments, contacting insurance, communicating with the patient, correcting the problem, and following it through until it's resolved.

Pay:

From $19.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person