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Billing Clerk / Specialist
Beverly Hills, FL
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Experienced Medical Billing Specialist - A/R, Denials & Appeals and Payment Poster Job Summary A medical office in Beverly Hills, FL is seeking an experienced Medical Billing Specialist to join our established billing team. We are looking for an exceptional, highly organized, and detail-oriented professional with strong experience in Accounts Receivable (A/R), insurance denials, appeals, billing, and payment posting The ideal candidate will have the knowledge and experience necessary to investigate unpaid claims, identify the reason for non-payment, correct billing issues, and follow claims through to timely resolution. We have a great team in place and are looking for someone who will be a valuable addition to our organization and take pride in ensuring claims are handled accurately and efficiently. This is an on-site position and is not available for remote work. Work schedule is Monday through Thursday 8am to 5pm with a 1 hour lunch. Compensation & Benefits Competitive hourly rate based on experience and qualifications Paid time off (PTO) Health insurance benefits Additional supplemental insurance options Investment/retirement plan Responsibilities & Duties Work and manage Accounts Receivable (A/R) reports. Follow up on outstanding and unpaid insurance claims. Investigate and resolve claim denials and payment issues. Rebill corrected claims when necessary. Review bills and claims for accuracy and completeness. Identify and correct coding, modifier, and billing errors. Obtain and maintain current knowledge of insurance billing guidelines and requirements. Work with Medicare, Medicaid, and commercial insurance payers . Contact insurance companies regarding claim status, denials, and appeals. Initiate and follow up on insurance claims and appeals. Ensure timely resolution of outstanding claims, including appealed claims. Verify claim status through insurance portals. Posting Payments Review EOBs and determine appropriate follow-up and action. Maintain accurate and detailed documentation of claim activity. Work collaboratively with the billing team to improve A/R and reimbursement outcomes. Qualifications & Skills Previous experience in medical billing is required . Strong experience working Accounts Receivable (A/R) . Demonstrated experience handling insurance denials and appeals . Experience with medical billing and coding . Strong understanding of CPT and ICD-10 codes . Knowledge of modifiers and their appropriate use . Experience working with Medicare, Medicaid, and commercial insurance plans . Ability to read, understand, and interpret EOBs (Explanation of Benefits) . Experience using an EHR system . Experience navigating insurance payer portals. Strong problem-solving and analytical skills. Excellent organizational and time-management skills. Exceptional attention to detail. Ability to prioritize and manage multiple claims and tasks. Strong communication and follow-up skills. Ability to work independently while also being an effective member of a team. Professional, dependable, and positive attitude. Experience The ideal candidate will have hands-on experience with: Accounts Receivable and aging reports Insurance claim follow-up Denial management Appeals and claim resolution Corrected and rebilled claims Medical billing and coding CPT and ICD-10 coding Modifiers EOB interpretation Medicare, Medicaid, and commercial insurance Insurance payer portals EHR systems If you are an experienced medical billing professional who knows how to work A/R, resolve denials, submit effective appeals, and get unpaid claims paid, we would love to meet you!
Job Type:
Full-time Benefits:
Dental insurance Health insurance Paid time off Retirement plan Vision insurance
Experience:
AR:
1 year (Required) working denials: 1 year (Required)