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Job Title:

Medical Billing & Denial Management Specialist Location:

West Palm Beach, FL (On-Site)

Working Schedule:

M-F 8:00am-4:30pm (Training 9am-5pm)

Pay Rate:

$20.00 - $25.00/hour (based on experience) Position Overview We are seeking an experienced Medical Insurance Follow-Up & Denials Specialist to join our Revenue Cycle team. This position is responsible for high-volume insurance follow-up, EOB review, denial management, appeals, and claim resolution for multiple physician practices and hospitals. Candidates must have recent experience working medical accounts receivable, insurance collections, and payer portals in a fast-paced billing environment. Required Experience

• 2-3+ years of Medical Insurance Accounts Receivable (AR) experience
• Experience reviewing Explanation of Benefits (EOBs)
• Strong Denial Management experience
• Insurance Follow-Up on commercial, Medicare, and Medicaid claims
• Experience handling 40-50+ claims per day
• Appeals writing and claim reconsiderations
• Experience with Change Healthcare/Payerpath or similar clearinghouses Key Responsibilities
• Manage and collect on a high volume of medical claims (40-50 daily)
• Follow up with insurance carriers regarding outstanding claims
• Utilize clearinghouse tools such as Payerpath/Change Healthcare
• Research and resolve claim issues using insurance portals and online resources
• Prepare and submit appeals letters to ensure claim approval
• Handle inbound patient calls, including resolving billing questions and concerns
• Maintain accurate documentation and protect sensitive patient information (HIPAA compliance) Qualifications
• 2-3+ years of medical collections experience (required)
• Experience working with high-volume claims (billing company experience preferred)
• Proficiency with:
• Practice Management software
• Microsoft Office (Word, Excel)
• Google Workspace (Gmail, Google Drive)

Knowledge of:

• ICD-10 coding
• 10-key data entry with speed and accuracy
• Experience with clearinghouses (Payerpath/Change Healthcare preferred; others accepted)
• Strong internet research skills and familiarity with insurance portals
• Excellent written communication skills (especially for appeals)
• Strong customer service skills with ability to handle sensitive or difficult conversations Work Environment & Schedule
• Business casual office environment
• Typical hours: 8:00 AM - 4:30 PM (flexibility may be required)
• Minimal overtime (only during special projects) #WPB