Revenue Cycle Specialist - Medical Billing Edwards Electronic Processing - 4.0 Orlando, FL Job Details Full-time $20 - $22 an hour 1 day ago Benefits 401(k) Paid time off 401(k) matching Life insurance Qualifications Customer communication Teamwork Interpersonal skills Customer service Attention to detail Medical terminology Full Job Description We are a growing medical billing agency located in Orlando, seeking an experienced Revenue Cycle Specialist - Medical Billing to join our team. The ideal candidate will have hands-on experience with the full healthcare revenue cycle , including claims submission, payment posting, denials and appeals, insurance verification, prior authorizations, AR follow-up, and patient billing. This is an onsite position in Orlando . A minimum of 3 years of hands-on medical billing or revenue cycle experience is required. We are a collaborative, client-focused team dedicated to delivering accurate, timely billing and outstanding service to the provider offices we support.

Key Responsibilities Claims Management:

Clean, scrub, and submit electronic and paper claims to various insurance carriers.

Denials & Appeals:

Identify the cause of claim denials and prepare clinical and administrative appeals to secure payment. When necessary, contact insurance carriers to determine denial reasons or request claim reprocessing. Verification of Benefits (VOB): Verify patient insurance coverage, including deductibles, co-pays, benefits, and plan limitations.

Prior Authorizations:

At client request, obtain and track required authorizations and process approvals as they are received. Communicate promptly with clients when authorizations are denied.

Client Communication:

Serve as a professional point of contact for provider offices, providing clear updates on claim status, answering questions, and providing excellent customer service.

AR Follow-up:

Monitor aging reports and consistently follow up with insurance carriers on outstanding and underpaid claims.

Patient Invoicing:

Review patient invoices for accuracy before sending. Communicate with patients and providers regarding patient balances.

Payment Posting:

Post electronic and manual remittances, handling denials, exceptions, and holds as needed.

Insurance & Patient Credit Balances:

Research insurance and patient credit balances and work to resolve them through client or insurance communication, voids, or replacement claims.

Compliance:

Maintain strict adherence to HIPAA regulations and stay current with applicable ICD-10, CPT, and HCPCS coding guidelines.

Team Support:

Be a proactive and positive member of the team by assisting team members as needed or during absences.

Task Management:

Complete assigned work through our task management system and assist with other responsibilities needed to support the revenue cycle. Qualifications 3+ years of hands-on medical billing or revenue cycle experience required Experience working the full claim cycle in a revenue cycle management system Experience billing commercial insurance, Medicare, and Medicaid Strong understanding of

CPT, ICD-10

codes, and appropriate use of modifiers Familiarity with medical terminology, insurance, and benefits Strong attention to detail and ability to manage multiple priorities Typing speed of 50+ WPM and proficiency with 10-key Excellent verbal and written communication skills Ability to work independently while contributing to a team-oriented environment Previous experience with therapy billing is a plus, but not required What We Offer Full-time position 401(k) with company matching Life insurance Paid time off If you're an experienced billing professional who enjoys working through the details of the revenue cycle, solving problems, and providing excellent service to clients, we'd love to hear from you.

Pay:

$20.00 - $22.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) 401(k) matching Life insurance Paid time off

Work Location:

In person