Claim Operator Jobs in Florida (NOW HIRING)

GlyCare is seeking an experienced Senior Billing Specialist to join our growing billing team in Jacksonville, Florida.

This position supports a hospital-based medical group operating across multiple states. The role is ideal for someone with experience in medical billing, insurance accounts receivable, claim follow-up, denial management, payment research, or other revenue cycle functions who is ready to expand their knowledge and contribute within a growing organization.

The successful candidate will be comfortable researching claim issues, communicating with insurance companies, documenting follow-up activity, and taking ownership of accounts through resolution. Experience in every area listed below is not required; however, candidates should have a strong medical billing foundation, a willingness to learn, and the ability to independently work through billing and reimbursement issues.

• Manage insurance accounts receivable and follow up on unpaid, delayed, rejected, underpaid, or denied claims.
• Review claim status, payer responses, and account history to determine the appropriate next steps.
• Contact commercial insurance plans, Medicare, Medicaid, and managed care payers to research and resolve claim issues.
• Correct and resubmit claims when appropriate.
• Work claims involving eligibility, coordination of benefits, authorization, documentation, coding, provider enrollment, claim submission, reimbursement, or payer processing issues.
• Review explanations of benefits, electronic remittance advice, denial messages, and payer correspondence.
• Prepare and submit claim reconsiderations, corrected claims, or appeals when needed.
• Document all payer communication, follow-up activity, and resolution steps clearly and accurately.
• Identify recurring payer, provider, location, or claim-processing issues and upscale trends to leadership.
• Use Excel, billing-system reports, and internal tracking tools to organize follow-up and monitor outstanding accounts.
• Collaborate with billing, credentialing, clinical operations, providers, and leadership to support timely reimbursement and reduce preventable denials.
• Assist patients with billing questions, insurance concerns, balances, or account-related issues in a professional and respectful manner.
• Support payment research, patient balance review, claim corrections, and limited payment-posting functions as needed.
• Cross-train in additional medical billing and revenue cycle responsibilities as the organization grows.

• At least two years of recent experience in medical billing, insurance follow-up, accounts receivable, denial management, payment posting, claims processing, or a related revenue cycle role.
• Experience in a physician practice, hospital-based practice, specialty group, medical billing company, health system, or similar healthcare setting.
• Working knowledge of the medical billing and insurance reimbursement process.
• Ability to research why a claim was rejected, denied, delayed, or underpaid and determine the appropriate action.
• Experience working with commercial insurance, Medicare, Medicaid, managed care, or other healthcare payers.
• Ability to read payer correspondence, claim status information, explanations of benefits, and electronic remittance advice.
• Professional communication skills when speaking with insurance representatives, patients, providers, and internal team members.
• Strong organization, documentation, time-management, and follow-through skills.
• Ability to manage multiple priorities and continue working an issue until it is resolved or appropriately escalated.
• Comfort learning new payer requirements, systems, workflows, and responsibilities.
• Experience using electronic medical record or practice-management software.
• Basic to intermediate Microsoft Excel skills.

Candidates may have held titles such as:

• Medical Billing Specialist
• Medical Accounts Receivable Specialist
• Insurance Follow-Up Representative
• Revenue Cycle Specialist
• Denial Management Specialist
• Claims Resolution Specialist
• Patient Account Representative
• Medical Collections Specialist
• Payment Posting Specialist
• Physician Billing Specialist
• Hospital Billing Representative
• Medical Claims Examiner or Processor

• Persistent and resourceful when researching claim or payer issues.
• Able to work independently while knowing when to ask questions or elevate an issue.
• Comfortable in a fast-paced environment where priorities may change.
• Detail-oriented and consistent with account documentation.
• Interested in understanding how different areas of the revenue cycle affect reimbursement.
• Willing to cross-train and help support the broader billing department.
• Positive, dependable, and team-oriented.
• Motivated by resolving problems rather than simply completing assigned tasks.

A college degree is not required. Relevant hands-on medical billing, insurance, claims, or revenue cycle experience is valued more heavily than formal education.

Professional billing or coding certifications are welcomed but are not required.

Salary range: $56,000–$68,000 annually, based on experience and qualifications.

Additional information regarding company benefits will be discussed during the interview process.

This is a full-time, on-site position located in Jacksonville, Florida.

Schedule: Monday through Friday

Applicants must be able to reliably commute to the Jacksonville office.

GlyCare is a growing organization, and this role offers the opportunity to broaden your revenue cycle knowledge, cross-train in additional functions, and contribute to the development of improved billing processes.