Medical Billing and Collection Specialist

Job Title: Medical Billing and Collection Specialist

Schedule: 8am to 5pm Monday through Friday

Location: St. Petersburg, Florida

About Us:
We represent a reputable healthcare organization located in the beautiful city of St. Petersburg, Florida. We are dedicated to providing high-quality medical services to our patients and are currently seeking a skilled Medical Billing Specialist to join our team. This position offers an exciting opportunity to work in a fast-paced environment and contribute to the efficient operation of our medical billing department.

Position Overview:
As a Medical Billing Specialist, you will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. The ideal candidate will have a strong understanding of medical billing procedures, coding systems, and insurance regulations. This is a critical role that requires attention to detail, excellent communication skills, and the ability to work collaboratively with other members of the healthcare team.

Key Responsibilities:

• Review and verify patient demographic and insurance information.
• Process and submit medical claims to insurance companies electronically or via paper submission.
• Follow up on unpaid or denied claims, resolving any issues or discrepancies as needed.
• Review explanation of benefits (EOB) statements and reconcile payments received with billed amounts.
• Investigate and appeal claim denials or underpayments as necessary.
• Communicate with insurance companies, patients, and healthcare providers to resolve billing inquiries and disputes.
• Maintain accurate and up-to-date billing records in accordance with HIPAA regulations.
• Assist with coding and data entry tasks as needed to support billing operations.
• Stay informed about changes in healthcare billing regulations and coding guidelines.

Qualifications:

• High school diploma or equivalent; certification in medical billing and coding preferred.
• Proven experience as a Medical Billing Specialist or similar role in a healthcare setting.
• Thorough understanding of medical billing procedures, coding systems (ICD-10, CPT), and insurance regulations (Medicare, Medicaid, commercial insurance).
• Proficiency in medical billing software and electronic health record (EHR) systems.
• Strong analytical and problem-solving skills.
• Excellent communication skills, both verbal and written.
• Ability to work independently and as part of a team in a fast-paced environment.
• Attention to detail and accuracy in data entry and record-keeping.
• Knowledge of HIPAA regulations and patient confidentiality standards.

Application Process:
If you meet the qualifications and are interested in joining our team as a Medical Billing Specialist, please submit your resume and cover letter to this job posting. We look forward to reviewing your application and discussing this exciting opportunity with you!