Billing Specialist

FloMed Infusion; Delray Beach (FL); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

401(k) matching

Dental insurance

Health insurance

Vision insurance

Paid time off

Job summary

FloMed Infusion in Delray Beach, FL seeks an experienced Insurance Payor Collections Specialist to review denials, manage follow-ups, and draft appeals.

You will coordinate with insurance payers, document actions in the EHR, and ensure timely payments while maintaining HIPAA standards. This full-time role requires strong numeric skills and familiarity with revenue cycle management.

Join a team focused on accurate claim resolution and client service in an ambulatory infusion setting.

Qualifications

• Experience in medical collections or accounts payable/receivable.
• Strong understanding of revenue cycle management.
• Excellent phone etiquette for client communications.
• Proficiency with accounting software.
• Knowledge of debits, credits, and account analysis.
• Strong math skills for payments and adjustments.
• Ability to work independently and manage multiple accounts.
• Commitment to confidentiality and regulatory compliance.

Responsibilities

• Deliver exceptional customer service while HIPAA compliant.
• Document actions in the electronic records system.
• Monitor and follow up on claims to ensure timely payment.
• Collaborate with payers to determine client responsibility.
• Pursue appeals and follow-ups on denials.
• Assist with billing tasks for insurance and client invoicing.
• Investigate denied claims and reprocess or appeal.
• Identify denial patterns and escalate issues.
• Communicate to resolve outstanding balances.

Skills

Medical collections

Accounts receivable

Phone etiquette

Accounting software

Debits and credits

Attention to detail

Independent work

Revenue cycle management

Tools

Accounting software

Job description

Description

FloMed Infusion is an outpatient infusion clinic offering Medical Infusions and Injections in a relaxing ambulatory environment. For more specifics on what we do and who we are, please review our website https://flomedinfusion.com/

We are seeking an experienced Insurance Payor Collections Specialist. This role emphasizes precision in reviewing and evaluating insurance denials or returned claims. The candidate must effectively communicate with insurance companies and clients using a resolution-focused approach. Such communication should be guided by acquired knowledge, insurance carrier guidelines, company policies and procedures, as well as thorough research and collection efforts. Alongside claim follow-ups, the collection specialist will also be responsible for sending medical records and drafting appeals for denied claims to insurance companies.

Responsibilities

• Deliver exceptional customer service to clients while maintaining strict adherence to HIPAA privacy and confidentiality standards.
• Precisely and comprehensively document all relevant information and follow-up actions in the electronic records system.
• Monitor and follow up on processed claims to ensure timely and accurate payment to the agency.
• Collaborate directly with insurance payers to confirm client eligibility and determine financial responsibility, including co-pays, deductibles, co-insurance, and out-of-pocket maximums.
• Pursue follow-up actions on insurance denials, including initiating appeals and requesting reconsiderations as appropriate.
• Support all billing-related tasks and responsibilities tied to both insurance and client invoicing, as needed.
• Investigate rejected insurance claims thoroughly and take appropriate action to reprocess or appeal denied or underpaid claims.
• Detect and analyze patterns in claim denials, escalating persistent payment delays or systemic issues to senior management.
• Communicate with insurance companies to resolve outstanding account balances and expedite claim resolution.

Requirements

• Proven experience in medical collections or accounts payable/receivable is preferred.
• Strong understanding of financial concepts, accounting principles, and revenue cycle management.
• Excellent phone etiquette with the ability to communicate effectively with clients.
• Proficiency in financial software and accounting software for managing accounts.
• Knowledge of debits, credits, and account analysis is essential.
• Strong math skills for calculating payments, balances, and adjustments.
• Ability to work independently while managing multiple accounts efficiently.
• A commitment to maintaining confidentiality and compliance with industry regulations. Join our team as a Collection Agent where your skills will contribute significantly to our financial health while helping clients navigate their payment responsibilities.

Job Type: Full-time

Benefits

• 401(k) matching
• Dental insurance
• Health insurance
• Vision insurance
• Paid time off

Experience

collections: 1 year (Required)

Ability To Commute

Delray Beach, FL 33446 (Required)