Medical Biller: Outpatient Medical Clinic

Sunshine Physical Therapy Clinic - Vero Beach, FL Part-Time to Full-Time | Non-Exempt |

On-Site or Remote Location:

Vero Beach, FL Reports to:

Business Services Manager Compensation:

$22/hour for 5+ years of experience

Hours:

Flexible

ABOUT SUNSHINE PHYSICAL THERAPY CLINIC

Sunshine Physical Therapy Clinic is a non-profit outpatient clinic located in Vero Beach, FL. Since 1953, we have provided services to people of all ages regardless of their insurance or ability to pay. Our services include Physical, Occupational, and Speech therapies from our 23 highly-qualified and certified therapists.

CORE VALUES

Integrity, Professionalism, Compassion, Teamwork, and Respect.

POSITION SUMMARY

We are seeking an experienced, detail-oriented Medical Biller to manage the full cycle of billing and collections. This role is essential to sustaining our mission by ensuring accurate claims processing, timely reimbursement, and a positive patient experience. The Medical Biller is responsible for accurately preparing, submitting, and following up on paper medical claims to insurance companies and patients. In addition, the Medical Biller will manage the electronic billing processes of our third-party biller, Qualifacts. This role maintains compliance with healthcare regulations, and supports the financial health of the clinic by minimizing claim denials and maximizing collections. Key Responsibilities  Oversee third-party billing process; manage daily claims issues in partnership with third- party biller to resolve issues promptly  Prepare and submit accurate medical claims to insurance carriers (carve-outs only); follow up on denied or unpaid claims  Ensure proper use of CPT, ICD-10, and HCPCS codes  Collaborate with staff to ensure accurate coding and documentation  Post EOBs to patient accounts; track overpayment debits and capitated plan credits  Manage insurance aging issues  Maintain up-to-date knowledge of payer requirements and billing regulations, including current fee schedules  Ensure compliance with HIPAA and other healthcare regulations Qualifications  5+ years of medical billing experience (outpatient or clinic setting preferred)  Knowledge of CPT, ICD-10, and HCPCS codes  Experience with EMR and billing systems; experience with InSync/Qualifacts a bonus  Familiarity with Medicare, Medicaid, and commercial plans  Strong attention to detail, organization, and follow-through  Excellent communication and problem-solving skills Compensation & Benefits  Part-time hourly position; compensation commensurate with experience  Potential for full-time position  Supportive, mission-driven team environment Why Join Us? Your work directly supports access to care for underserved patients. Join a team where your skills make a meaningful difference every day. Apply Today! Ready to bring your billing expertise to a purpose-driven organization? !