Billing Rep I - REMOTE

Lensa; Sarasota (FL); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare organization in Sarasota is seeking a Billing Specialist I to support insurance claims processing. The role involves auditing, submitting claims, and ensuring compliance with standards. Candidates with a high school diploma and some billing experience are encouraged to apply. A competitive benefits package is included.

Benefits

Medical insurance

Dental insurance

Vision insurance

401K

Paid Time Off (PTO)

Bonuses where eligible

Qualifications

• 0-1 years of experience in medical billing.
• Basic understanding of insurance claim processing.
• Familiarity with CMS, Medicaid, Medicare regulations.

Responsibilities

• Process and submit primary and secondary insurance claims.
• Resolve claim errors and denials effectively.
• Maintain knowledge of billing regulations and payer policies.

Skills

Attention to Detail

Analytical Skills

Communication Skills

Education

H.S. Diploma or GED

Associate’s Degree in Business or Healthcare

Tools

Billing Software

Electronic Claims Management Systems

Job description

2 days ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, Community Health Systems, is seeking professionals. Apply via Lensa today!

Job Summary

The Billing Specialist I is responsible for processing, auditing, and submitting primary and secondary insurance claims, ensuring accuracy, compliance, and timely reimbursement. This role utilizes electronic claims management systems to review, correct, and resolve billing errors, denials, and rejections. The Billing Specialist I collaborates with internal teams, facility liaisons, and payers to ensure clean claim submission and adherence to federal, state, and payer-specific regulations.

As a Billing Specialist I at Community Health Systems (CHS) - SSC Sarasota, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical insurance, dental insurance, vision insurance, PTO, 401K, sick time, holidays, and bonus where eligible.

Essential Functions

• Processes and submits primary and secondary insurance claims accurately and in a timely manner, ensuring compliance with payer guidelines and regulatory requirements.
• Reviews and resolves claim errors, rejections, and denials, making necessary corrections and resubmitting claims as needed.
• Demonstrates working knowledge of billing forms, including UB-04, CMS-1500, or state-specific billing forms, ensuring claims are submitted with the appropriate documentation.
• Audits claims for accuracy, checking for duplicate charges, overlapped accounts, and missing information before submission.
• Investigates and processes rebill requests, verifying claim accuracy and making necessary updates per facility or coding liaison direction.
• Maintains knowledge of billing regulations, payer policies, and electronic submission guidelines, staying up to date with federal, state, and local billing requirements.
• Utilizes electronic billing systems to analyze, research, and transmit claims, ensuring proper documentation of actions taken in the collection system.
• Monitors and reports charging or edit trends, collaborating with internal teams (such as coding, patient access, and ancillary departments) to improve billing accuracy.
• Performs daily balancing tasks using SSI and other billing systems, escalating unresolved issues or billing delays to the Billing Services Manager.
• Communicates professionally with payers, facility representatives, and internal teams, ensuring efficient issue resolution and proper follow-up on outstanding claims.
• Performs other duties as assigned.
• Complies with all policies and standards.
  
  

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Required:
• Education: H.S. Diploma or GED
• Experience: 0-1 years of experience in medical billing, insurance claims processing, or revenue cycle operations
• Preferred:
• Education: Associate’s Degree in Business, Healthcare Administration, Medical Billing, or a related field
• Experience: 1-3 years of billing experience in a medical facility, ambulatory surgery facility, or acute-care. Experience with hospital or physician billing, including knowledge of payer policies and electronic claims systems
  
  

Knowledge, Skills And Abilities

• Basic understanding of insurance claim processing, medical billing, and reimbursement guidelines.
• Familiarity with billing software, electronic claims management systems (e.g., SSI, Pulse/DAR), and eligibility tools.
• Knowledge of CMS, Medicaid, Medicare, and commercial insurance billing regulations.
• Ability to analyze and resolve claim errors, denials, and rejections efficiently.
• Strong attention to detail, organizational skills, and ability to meet deadlines.
• Proficiency in Microsoft Office Suite (Excel, Outlook, Word) and electronic health record (EHR) systems.
• Excellent communication and problem-solving skills, with the ability to interact professionally with internal teams and external payers.
  
  

Licenses And Certifications

• Preferred: CPB- Certified Medical Biller
  
  

We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

The Sarasota SSC operates in support of our hospitals and patients and our commitment is to provide them with exemplary revenue cycle services defined by outstanding customer service and superior revenue cycle performance. SSC Sarasota support facilities located primarily in Florida, Georgia, Indiana, and Pennsylvania.

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

INDSSFLRCSC

To Apply, please email [e-mail]

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  IT Services and IT Consulting

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