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Medical Billing Rcm Jobs in Florida (NOW HIRING)

US Eye

RCM Support Specialist Team Lead

Bradenton, FL · On-site

JOB SUMMARY The RCM Support Specialist Team Lead is a working leader responsible for overseeing the ... billing system, patient engagement system, electronic medical records, clearinghouse system ...

Tandemdiabetes

Certification in Medical Billing, preferred. * 10+ years of experience in finance and/or operations. * 5+ years in an RCM leadership role within a healthcare system. * DME and pharmacy experience ...

Abbott

Accounts Receivable Associate

Greenwood, FL · On-site

$17.25 - $22.25/hr

None required; certifications in medical billing or RCM are a plus. * Language Proficiency * English required; bilingual skills are a plus. Consultants Eligible Benefits Upon Waiting Period:

Integrated Home

RCM Contracts Manager

Miramar, FL · On-site

$81K - $108K/yr

Medical, Vision, Dental, Short- and Long-term insurance * 6+ Days of Holidays Pay * 17 days of PTO ... Interpret reimbursement methodologies, fee schedules, billing rules, authorization requirements ...

Abbott

Accounts Receivable Associate

Greenwood, FL

$17.25 - $22.25/hr

None required; certifications in medical billing or RCM are a plus. * Language Proficiency * English required; bilingual skills are a plus. Consultants Eligible Benefits Upon Waiting Period:

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Medical Billing Rcm information

What is medical billing RCM?

Medical billing RCM, or Revenue Cycle Management, refers to the process healthcare providers use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. It involves managing claims, processing payments, and following up on denied claims to maximize revenue. Medical billing RCM professionals ensure accurate coding, timely claims submission, and efficient handling of patient billing and insurance. Their work is crucial for maintaining the financial health of medical practices and hospitals.

What are some common challenges Medical Billing RCM professionals face when working with insurance claims, and how can they be addressed?

Medical Billing RCM professionals often encounter challenges such as claim denials, delayed reimbursements, and navigating complex payer requirements. Staying updated on payer policies, maintaining accurate documentation, and using advanced billing software can help minimize errors and improve claim acceptance rates. Additionally, effective communication with healthcare providers and insurance companies is essential for resolving discrepancies quickly and ensuring smooth revenue cycle management.

What is the difference between Medical Billing Rcm vs Medical Coding Specialist?

AspectMedical Billing RcmMedical Coding Specialist
CertificationsCPAR, CPC, or similarCPC, CCS, or similar
Work EnvironmentBilling departments, healthcare officesMedical offices, hospitals, coding firms
Primary FocusClaims submission, payment processingPatient record coding, diagnosis, procedures
Employer & Industry UsageHealthcare providers, billing companiesHospitals, clinics, insurance companies

Medical Billing Rcm professionals handle the submission and management of insurance claims to ensure healthcare providers receive payment. Medical Coding Specialists focus on translating medical procedures and diagnoses into standardized codes for billing and record-keeping. While both roles require coding certifications and work within healthcare settings, Billing Rcm emphasizes claims processing, whereas Coding Specialists concentrate on accurate medical record coding.

What are the key skills and qualifications needed to thrive as a Medical Billing RCM (Revenue Cycle Management) specialist, and why are they important?

To thrive as a Medical Billing RCM specialist, you need a solid understanding of medical coding, insurance claims processes, and healthcare reimbursement regulations, often supported by a certificate or associate degree in medical billing or coding. Familiarity with practice management software, electronic health records (EHR) systems, and coding tools like ICD-10, CPT, and HCPCS is typically required. Attention to detail, problem-solving abilities, and strong communication skills help in resolving claim discrepancies and interacting with payers and providers. These competencies ensure accurate billing, timely reimbursement, and overall efficiency in the healthcare revenue cycle.
What are the most commonly searched types of Medical Billing Rcm jobs in Florida? The most popular types of Medical Billing Rcm jobs in Florida are:
What are popular job titles related to Medical Billing Rcm jobs in Florida? For Medical Billing Rcm jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Medical Billing Rcm jobs in Florida look for? The top searched job categories for Medical Billing Rcm jobs in Florida are:
Medical Billing Rcm jobs near you
Infographic showing various Medical Billing Rcm job openings in Florida as of July 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.

Billing & Claims Analyst

Porter Cares, Inc.

Pompano Beach, FL • On-site

$58K - $75K/yr

Full-time

Posted 25 days ago

Job description

 
Porter is hiring a Billing & Claims Analyst to join our Team!
 
Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. 
 
 
 
 

ABOUT THE ROLE

Our organization operates in a payer-contracted services model — delegated services, in-home assessments, HEDIS gap closure, and risk adjustment visits — billed through Athena in a mix of penny-claim/encounter-reporting and full-cost claim arrangements. Because Athena's default logic is built for traditional fee-for-service billing, our claims regularly get flagged, held, or underpaid in ways that don't reflect actual problems.

We're hiring a Billing & Claims Analyst to be the day-to-day set of eyes on our claims: tracking what's been submitted, what's stuck, what's been paid, and what's been invoiced separately — and flagging patterns to the Revenue Cycle & Claims Operations Lead so they can be fixed at the source.

KEY RESPONSIBILITIES

Reporting & Reconciliation

  • Build and maintain recurring reports in Athena covering claim submission status, hold/edit queues, and payment status.
  • Reconcile claims sent to payers against invoices sent separately for encounter/penny-claim arrangements, confirming amounts match and nothing has fallen through the cracks.
  • Track partial payments and underpayments, flagging cases where Athena has applied a standard allowable amount or co-insurance deduction that conflicts with the actual contracted rate.
  • Maintain claim-aging reports so nothing sits in a hold queue unnoticed.

Claims Monitoring & First-Line Troubleshooting

  • Monitor daily/weekly claim submission activity to confirm claims are actually reaching payers, not just leaving Athena.
  • Review current holds in Athena, distinguish routine/expected holds from ones tied to our known penny-claim or allowable-amount issues, and route the latter for escalation.
  • Perform basic first-line correction on claims where the fix is known and documented, escalating anything new or ambiguous.

Support for Systemic Fixes

  • Document recurring issues (e.g., a specific hold code affecting a specific payer or claim type) with enough detail for the Operations Lead to escalate to Athena or the payer.
  • Support testing and validation whenever a new custom rule or workflow change is implemented in Athena, confirming it behaves as expected across a sample of claims.
  • Contribute claim-level detail to the 90-day Athena assessment and any future EMR evaluation.

REQUIRED QUALIFICATIONS

  • 1–3+ years of experience in medical billing, claims processing, or revenue cycle operations.
  • Working proficiency in Athena (or comparable EMR/RCM system) — running reports, navigating claim status and hold queues, and pulling claim-level detail.
  • Strong Excel skills (pivot tables, VLOOKUP/XLOOKUP, basic reconciliation building); SQL or other data-query experience is a plus but not required.
  • High attention to detail and comfort with repetitive reconciliation work — this role lives in the data, not just the summary.
  • Clear written communication for documenting issues and escalations.

PREFERRED QUALIFICATIONS

  • Prior exposure to value-based care, risk adjustment, HEDIS, or delegated/capitated billing models.
  • Experience with encounter data reporting or non-standard (non-FFS) claim types.
  • Familiarity with payer portals for claim status verification.

COMPENSATION & BENEFITS

Competitive wage and benefits package.
Opportunities for professional growth and continuing education.
A supportive, collaborative work environment.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.