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We are seeking a detail-oriented and results-driven Medical Biller / Collections Specialist to join our team in Boca Raton, Florida. This role is responsible for accurate medical billing, claims submission, insurance follow-up, and collections to ensure timely reimbursement and optimized cash flow. The ideal candidate has strong knowledge of insurance processes, excellent communication skills, and a proactive approach to resolving outstanding accounts.
Job Responsibility
Prepare, review, and submit medical claims to primary, secondary, and tertiary insurance carriers for timely reimbursement
Verify patient information, insurance coverage, and eligibility to ensure billing accuracy
Monitor claim status and conduct follow-up on denied, rejected, or unpaid claims, including appeals and resubmissions
Investigate and resolve billing discrepancies by working with payers, patients, and internal teams
Post payments, adjustments, and denials while reconciling accounts and ensuring proper allocation
Manage accounts receivable by reviewing aging reports and prioritizing outstanding balances
Contact insurance companies and patients to collect payments and resolve overdue accounts
Negotiate payment plans and provide billing explanations to patients as needed
Maintain accurate documentation of all billing and collection activity in compliance with regulations
Ensure compliance with HIPAA and all federal/state billing and collection guidelines
Requirements
2+ years of experience in medical billing, collections, or revenue cycle management
Strong understanding of insurance claims processing, denial management, and reimbursement methodologies
Knowledge of CPT, ICD-10, and HCPCS coding systems
Experience with EHR/EMR systems and billing software
Proficiency in Microsoft Office, particularly Excel
Ability to work independently and manage multiple accounts effectively
High attention to detail and strong organizational skills
What we offer
Medical, vision, dental, life and disability insurance