We are looking for a detail-oriented Medical Billing & Collections specialist to join a growing healthcare team in Florida. This contract-to-permanent opportunity is ideal for someone who can evaluate insurance payment activity, address claim issues, and help improve reimbursement outcomes. The person in this role will work closely with billing and accounts receivable processes in a collaborative onsite environment while supporting accurate and timely collections activity.
Responsibilities:
• Analyze explanation of benefits documents to identify billed services, insurer payments, contractual adjustments, and amounts owed by patients.
• Manage assigned denial and collections work queues, prioritizing unresolved accounts and taking action to move claims toward payment.
• Research underpaid or rejected claims and determine the appropriate next steps to correct and resolve billing issues.
• Communicate with insurance carriers to clarify discrepancies, obtain claim status updates, and secure outstanding reimbursement.
• Prepare and submit corrected claims or appeals within required filing deadlines to reduce avoidable payment delays.
• Record all follow-up efforts, account updates, and collection activity accurately within the billing system.
• Contribute to accounts receivable performance by helping reduce aging balances and supporting team collection goals.
• Collaborate with onsite team members in a fast-paced setting to maintain efficient claim follow-up and resolution workflows.• At least 1 year of experience in medical collections, medical accounts receivable, or related healthcare billing work.
• Practical knowledge of explanation of benefits review and insurance claims processing.
• Ability to interpret denials, investigate payment variances, and pursue resolution with payers effectively.
• Experience handling medical appeals, claim follow-up, and reimbursement collection activities.
• Strong attention to detail with solid analytical and problem-solving abilities.
• Comfortable working in a high-volume, team-oriented onsite environment.
• Experience with Epic or similar healthcare billing software is preferred.
• Prior experience working within the client's billing platform is highly preferred.