Billing Specialist

Jobtailor; Clearwater (FL); On-site; USD 38,000 - 52,000; Full time

Job summary

Jobtailor seeks a detail-oriented Billing Specialist in Florida to manage physician office claims and collections. You will post claims, monitor denials, and follow up until payment is received.

Responsibilities include preparing clean claims, working with payers, and ensuring accurate coding (CPT-4/ICD-10/HCPCS) and payer compliance. Excellent communication with patients and staff is essential.

Qualifications

• Minimum 2 years’ experience in physician office billing and collections.
• Proficient in CPT-4, ICD-10, HCPCS coding concepts.
• Strong communication with patients, physicians and staff.
• Ability to adhere to safety and department policies.

Responsibilities

• Posting and submitting clean claims to the clearing house until payment.
• Follow-up on denials, appeals, and payment receipt.
• Use A/R systems and reports to identify unpaid claims for action.
• Gather and verify all information for clean claim production.

Skills

Patient Billing

Claims Submission

A/R Follow-Up

Clean Claim Production

Denial Management

Appeals Process

Medical Terminology

CPT-4 Coding

ICD-10 Coding

HCPCS Coding

Effective Communication

Team Cooperation

Courteous Interaction

Problem Identification

Regular Attendance

Education

High School or GED equivalen

Tools

Physician Practice Management System

Windows Applications

A/R Follow-Up Systems

Job description

• Responsible for understanding all aspects of coding, quality assurance and compliance with Federal Payer documentation guidelines
• Works closely with departmental management and coordinates with Physicians
• Posting, clean claim submission to clearing house, denials, appeals, follow-up on claims until payment received
• Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal
• Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer contract
• Applies appropriate discounts/courtesies based on department policy
• Processes daily mail, edits reports, file or pull EOB batches
• Identifies and informs Manager of issues or problems associated with non-payment of claims
• Contacts payors or patients as appropriate for corrective action to resolve the issues and receive payment of the claims

Requirements

• High School education or GED equivalent
• Minimum of 2 years’ experience in physician office performing patient billing and collections required
• Previous computer skills on Physician Practice Management System and/or windows application with mouse
• Ability to communicate effectively with patients, physicians, and staff in a courteous manner
• Medical Terminology including CPT-4 procedure coding
• ICD-10 diagnostic coding, and HCPCS coding preferred
• Ability to attend work on a regular basis
• Ability to adhere to safety rules and other reasonable regulations pertaining to the job
• Ability to refrain from negativity or excessive irritability
• Ability to work in cooperation with other workers

Core Competencies

Demonstrates expertise in patient billing and collections, including proficiency in Medical Terminology, CPT-4, ICD-10, and HCPCS coding. Effectively communicates with patients and healthcare professionals while ensuring compliance with Federal Payer documentation guidelines.

Highest-signal resume keywords

• Patient Billing and Collections
• CPT-4 Procedure Coding
• ICD-10 Diagnostic Coding
• HCPCS Coding
• Physician Practice Management System

ATS Optimization Keywords

Hard Skills

• Patient Billing
• Claims Submission
• A/R Follow-Up
• Clean Claim Production
• Denial Management
• Appeals Process
• Medical Terminology
• CPT-4 Coding
• ICD-10 Coding
• HCPCS Coding

Soft Skills

• Effective Communication
• Team Cooperation
• Courteous Interaction
• Problem Identification
• Regular Attendance

Industry Keywords

• Federal Payer Compliance
• Billing Procedures
• EOB Processing
• Claim Follow-Up
• Payer Contracts

Tools & Technologies

• A/R Follow-Up Systems
• Physician Practice Management System
• Windows Applications