Overview We are seeking a detail-oriented and proactive Medical Biller Specialist to join our healthcare finance team. The ideal candidate will possess a strong understanding of medical billing, coding, and claims management, with a focus on optimizing revenue cycles and ensuring accurate account reconciliation. This role offers an opportunity to contribute to efficient healthcare claims processing, improve collections, and support the financial health of our organization through meticulous account management and customer service excellence. Duties Review and analyze healthcare claims to ensure accuracy in coding, including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, and ICD-10 codes. Follow up on unpaid or denied medical claims by communicating with insurance providers and patients to resolve discrepancies promptly. Manage accounts receivable by monitoring outstanding balances, applying payments, and reconciling medical records with billing information. Utilize eClinicalWorks billing software, EMR (Electronic Medical Records), and EHR (Electronic Health Records) systems to process claims efficiently and maintain accurate financial records. Collaborate with healthcare providers to verify patient information, insurance details, and medical documentation for billing accuracy. Maintain comprehensive knowledge of health insurance policies, medical terminology, and healthcare claims management procedures to facilitate effective collections. Provide exceptional customer service by addressing patient inquiries regarding billing statements, payment options, and account status while maintaining professionalism and confidentiality. Conduct insurance benefits investigations for infusion therapies and biologic buy-and-bill medications. Verify coverage, prior authorization requirements, deductibles, coinsurance, and patient financial responsibility. Qualifications Proven experience in medical billing, coding, or accounts receivable within a healthcare setting. Strong knowledge of medical coding systems including

DRG, CPT

coding, ICD-9, ICD-10, and ICD coding standards. Familiarity with medical collection processes and healthcare claims management practices. Proficiency in Microsoft Office applications along with experience using billing software, EMR/EHR systems, and healthcare management tools. EClinicalWorks knowledge a plus. Excellent understanding of health insurance policies, medical records management, and medical terminology. Exceptional organizational skills with the ability to prioritize tasks in a fast-paced environment. Effective communication skills for interacting with patients, insurance companies, and healthcare providers professionally. Preferred Rheumatology, infusion, oncology, gastroenterology, or specialty practice experience. Experience with biologic medications and buy-and-bill reimbursement. Knowledge of infusion coding, prior authorizations, and copay assistance programs. Experience with legacy system cleanup and data reconciliation projects. Join our team as a Medical Accounts Receivable Specialist to ensure precise financial operations that support high-quality patient care and organizational success!

Pay:

$20.00 - $23.00 per hour

Benefits:

Life insurance Paid time off Retirement plan Application Question(s): Do you have experience resolving complex insurance claims and denials? Do you have at least 3 years of experience in medical accounts receivable, billing, or insurance follow-up? Ability to

Commute:

Palm Harbor, FL 34684 (Required)

Work Location:

In person