Medical A/R Specialist

South Florida Orthopaedics & Sports Medicine PA; Florida; On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive compensation

Medical, dental, and vision insurance

401(k)

Paid time off and holidays

Ongoing professional development

Webinars and training programs

Modern revenue cycle tools

Collaborative management team

Long-term career growth

Job summary

South Florida Orthopaedics & Sports Medicine seeks an experienced Medical A/R Specialist to join our Revenue Cycle team in Stuart, FL. You will own accounts, resolve balances, and manage denials.

This role requires Medicare and commercial appeals, payer portal research, EOB interpretation, and collaboration with coding and management to recover revenue while maintaining high productivity and quality.

Qualifications

• Demonstrated success collecting and resolving medical accounts receivable balances.
• Recent experience preparing and filing appeals with Medicare and commercial payers.
• Experience using payer portals to check claim status and payment information.
• Experience with an EMR and Practice Management system (NextGen preferred).
• Ability to read and interpret EOBs and remittance advice.
• Strong communication and analytical problem-solving skills.

Responsibilities

• Investigate and resolve insurance claim denials and underpayments.
• Review EOBs, remittance advice, and payer correspondence.
• Prepare and submit appeals to Medicare and other payers.
• Research claim status through payer portals and resources.
• Identify reimbursement trends and escalate systemic issues.
• Resubmit corrected claims with supporting documentation.
• Collaborate with coding, billing, and management teams to resolve issues.
• Identify accounts that may be uncollectible and suggest resolutions.
• Maintain productivity and quality while managing work queues.

Skills

A/R collections

Denial management

Appeals processing

Payer communications

Analytical skills

Excel / MS Office

Attention to detail

Independent worker

Tools

NextGen EMR

Practice Management system

Payer portals

Microsoft Office

Job description

Description

Put Your Insurance A/R Expertise to Work

South Florida Orthopaedics & Sports Medicine is seeking an experienced Medical A/R Specialist to join our growing Revenue Cycle team. If you enjoy solving complex claim issues, appealing denials, and recovering revenue that others may overlook, this is an opportunity to make a meaningful impact while working with a supportive and experienced team.

Since 1995, South Florida Orthopaedics & Sports Medicine has been a trusted provider of orthopaedic and musculoskeletal care on the Treasure Coast. Our multi-specialty practice includes orthopaedics, sports medicine, joint replacement, pain management, podiatry, physical therapy, and occupational therapy services. As our practice continues to grow, we are looking for skilled revenue cycle professionals who are passionate about maximizing reimbursement and improving financial outcomes.

What You'll Do

As a Medical A/R Specialist, you will take ownership of assigned accounts and work independently to resolve outstanding balances and payer denials. Your responsibilities will include:

• Investigating and resolving insurance claim denials and underpayments
• Reviewing and interpreting EOBs, remittance advice, and payer correspondence
• Preparing and submitting appeals to Medicare, commercial insurance carriers, workers' compensation carriers, and auto insurance payers
• Researching claim status through payer portals and other available resources
• Identifying reimbursement trends and escalating systemic issues when appropriate
• Resubmitting corrected claims and supporting documentation
• Collaborating with coding, billing, and management teams to resolve complex reimbursement issues
• Identifying accounts that may be uncollectible and making recommendations for resolution
• Maintaining productivity and quality standards while managing assigned work queues

Why Join Our Team?

Our Revenue Cycle team is made up of experienced professionals who are trusted to manage their work with a high degree of independence and professional judgment. We are proud of the stability of our team and the supportive culture we have built. Many team members have been with the practice for years, creating an environment where knowledge is shared, collaboration is encouraged, and employees are valued for their contributions.

We offer:

• Competitive compensation
• Medical, dental, and vision insurance
• 401(k) retirement plan
• Paid time off and paid holidays
• Ongoing professional development opportunities
• Regular industry webinars and training programs
• Modern technology and up-to-date revenue cycle tools
• A collaborative, supportive management team
• Long-term career growth opportunities within a stable, growing healthcare organization

Our Ideal Candidate

This is not an entry-level billing position. We are seeking an experienced medical accounts receivable professional who can independently research, analyze, and resolve complex reimbursement issues. Successful candidates will have a strong understanding of payer requirements, denial management, appeals, and medical claim resolution.

You are an experienced medical accounts receivable professional who enjoys investigating claim issues, navigating payer requirements, and seeing difficult accounts through to resolution. You are analytical, persistent, and detail-oriented, with the confidence to work independently while contributing to a collaborative team environment.

Successful candidates possess strong critical-thinking skills, communicate professionally with payers and colleagues, and take pride in recovering revenue accurately and efficiently.

Requirements

Required

• Demonstrated success collecting and resolving outstanding medical accounts receivable balances
• Recent experience preparing and filing appeals with Medicare and commercial insurance payers
• Experience utilizing payer portals to research claim status and payment information
• Experience with an EMR and Practice Management system; NextGen experience strongly preferred
• Ability to read, understand, and interpret EOBs and remittance advice
• Strong computer proficiency, including Microsoft Office applications
• Excellent written and verbal communication skills
• Strong analytical and problem-solving abilities

Preferred

• Orthopaedic, surgical, or specialty practice experience
• Knowledge of CPT modifiers and medical coding concepts
• Experience with physical therapy and occupational therapy billing and reimbursement
• Experience handling workers' compensation and automobile insurance claims
• Familiarity with Medicare regulations and commercial payer reimbursement methodologies

Schedule

• Full-time
• Monday through Friday
• 8:00 AM – 5:00 PM
• This is an in-office position based in our Stuart, FL office

Physical Requirements

• Primarily sedentary office work
• Frequent use of computers, telephones, scanners, and other office equipment
• Occasional lifting, carrying, bending, or stooping, up to 50 pounds

Salary ranges shown on job search websites reflect market averages and do not reflect information specific to South Florida Orthopaedics. Candidates are encouraged to discuss compensation questions with Human Resources.