Billing Specialist

ChenMed; Miami (FL); On-site; USD 30,000 - 43,000; Full time

Job summary

ChenMed is hiring a Billing Specialist to support daily billing operations and ensure compliant, timely professional billing. The role acts as the super-user for billing systems, coordinating with IT and vendors to maintain edits and bridge routines.

You will help optimize revenue cycles and support the billing team’s productivity. The candidate will have an Associate degree with 2+ years in Patient Accounts, knowledge of payer guidelines, and strong communication skills.

Qualifications

• Strong communication skills, both written and verbal.
• Ability to analyze data and work independently.
• Familiarity with insurance guidelines, Medicare, Medicaid, and commercial payers.
• Understanding of policies and procedures in a medical billing context.
• Willingness to travel locally, regionally, or nationally up to 10%.
• English language proficiency in speaking and writing.

Responsibilities

• Provides daily administration and coordination of billing functions.
• Supports billing and collections and data processing for accurate billing.
• Reviews reports and queues to improve productivity and meet goals.
• Acts as billing system expert and liaison with vendors/IT.
• Maintains patient information to document and process billings.
• Performs billing operations including coding, entry, submissions, posting, AR follow-up, and reimbursement management.
• Audits procedures to improve efficiency and compliance.
• Ensures activities align with department protocols and payer rules.
• Participates in policy development and system enhancements.
• Assists in hiring, training, and discipline of Medical Billers.
• Performs other duties as assigned by management.

Skills

Communication skills

Data analysis

Billing knowledge

Policy compliance

Insurance guidelines

Travel up to 10%

English fluency

Education

Associate degree required

Bachelor’s degree preferred

Job description

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy.

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Billing Specialist is responsible for assisting in the day‑to‑day operations of the Billing Department and timely and accurate professional billing. Role is also responsible for ensuring compliance with all organizational, statutory, and federal, contractual obligations, regulations, and standards. This position serves as “super‑user” for billing systems, including but not limited to maintaining edits, bridge routines, and establishing and maintaining billing system vendor and IT relationships.

Essential Job Duties/Responsibilities

• Provides daily administration and coordination of billing functions
• Supports billing and collections, and data processing to ensure accurate billing and efficient account collection.
• Reviews reports, works queues, monitors department’s productivity, recommends improvements to enhance the unit’s productivity and meet goals.
• Serves as the practice expert and go-to person for all billing processes, limited coding questions and help resolve issues.
• Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
• Supports and performs the operations of the billing department including but not limited to; medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and follow Federal, State, and payer regulations, guidelines, and requirements.
• Participates in the development and application of operating policies and procedures.
• Reviews and interprets operational data to assess need for procedural revisions and enhancements.
• Participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Assists in recruiting, hiring, training, disciplining, and recommend termination of Medical Billers as required to maintain a skilled, enthusiastic, and productive workforce.
• Performs other duties as assigned and modified at manager’s discretion.

Knowledge, Skills and Abilities

• Good communication skills, oral and written
• Ability to analyze data and work independently.
• Must be able to develop and maintain a professional, service-oriented working relationships with physicians, insurance companies and healthcare providers.
• Must be able to understand and comply with policies and procedures.
• Knowledge of insurance guidelines, Medicare, Medicaid and Commercial Payers.
• Ability and willingness to travel locally, regionally and/or nationally up to 10% of the time; flexible to work weekends as needed
• Spoken and written fluency in English

Education and Experience Criteria

• Associate degree required.
• Bachelor’s Degree or equivalent degree within specific field preferred. Two (2) years’ experience in a Patient Accounts setting required.
• Minimum three years’ experience with billing regulations, including but not limited to certifications, authorizations, insurance assignments, coordination of benefits and compliance.
• Medical Billing and coding Certification required or ability to obtain within 1 year.

Pay Range

$22.0 - $31.42 Hourly The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for bonuses or commissions.

Employee Benefits

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well‑being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work‑life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.