Join a thriving pediatric orthopaedic group in a revenue cycle role focused on accurate billing, claim follow-up, and collections.
In this position, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and timely payment collection. Responsibilities include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, preparing monthly accounts receivable reports, and resolving issues with provider representatives.
The role also includes collaboration with insurance verification, front desk, charge entry, and providers to correct registration errors, prevent future denials, and improve overall claim processing. Success is measured by strong A/R performance, timely denial resolution, accurate claim handling, and professional communication with staff and patients.
Qualifications
- Minimum of 2 years of experience as a medical billing specialist
- Experience with AR follow-up, EDI management, coding, medical terminology, and computer skills
- CPC or CPB certification, or willingness to obtain certification within 2 years
- Experience in insurance verification and pediatrics/orthopaedics preferred
- Familiarity with AthenaPractice, Encoda, or Phreesia preferred
- Knowledge of Florida Medicaid billing is a plus
Additional expectations
- Ability to analyze claim denials and submit corrected claims, reconsiderations, and appeals
- Ability to apply insurance guidelines and contract-based adjustments accurately
- Strong communication, teamwork, and problem-solving skills
- Ability to meet deadlines and maintain accuracy in a fast-paced environment
Benefits and perks
- Starting pay of $21 per hour, negotiable based on experience and certifications
- 100% employee premium coverage for medical insurance (UHC)
- Dental coverage (Delta)
- $20,000 life insurance policy with no payroll deductions
- Coverage begins the first day of the month after the 30-day anniversary
- 16 days of PTO in the first year
- 5 days of SD/serious illness leave accrued in the first year
- Profit sharing begins after one year
- Historical profit sharing rate of at least 14% annually
- No payroll deductions for retirement savings
- Vesting up to 20% annually over five years
- 90-day training period
- Opportunities for professional growth, mentorship, and ongoing training
Location
St. Petersburg, Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
5 months ago