Healthcare Claims & Billing Specialist

Halifax Health; Daytona Beach (FL); On-site; USD 36,000 - 48,000; Full time

Job summary

Halifax Health is seeking a Patient Accounting Representative - Claims Processor to review, process, bill, and follow up on claims with third-party payers in Daytona Beach. You will pursue payer resources promptly and communicate effectively to resolve accounts, ensuring timely payments.

The role requires at least a high school diploma with 2+ years in healthcare billing; experience with Meditech, Epic or EMR systems is preferred, along with strong customer service and PC skills.

Qualifications

• High school diploma or equivalent required.
• Two years of healthcare billing or business office experience preferred.
• Ability to communicate effectively with patients and maintain customer service standards.

Responsibilities

• Review, process, bill, and follow up on claims to third-party payers.
• Pursue third-party resources promptly and persistently.
• Communicate with payers/guarantors for timely resolution of accounts.
• Evaluate and resolve accounts using bills, remittances, and payer guidelines.
• Process rejected or hardcopy claims timely and accurately.
• Maintain knowledge of HCPCS and UB04 coding per payer guidelines.
• Meet or exceed production goals.
• Maintain up-to-date information in billing and registration systems.

Skills

Communication skills

Customer service

PC literacy

Education

High School Diploma or GED

Associate's or Bachelor's degree preferred

Tools

Meditech

Epic

EMR systems

Job description

Halifax Health is seeking a Patient Accounting Representative - Claims Processor to review, process, bill, and follow up on claims with third-party payers in Daytona Beach. You will pursue payer resources promptly and communicate effectively to resolve accounts, ensuring timely payments.

The role requires at least a high school diploma with 2+ years in healthcare billing; experience with Meditech, Epic or EMR systems is preferred, along with strong customer service and PC skills.