Medical Biller

Children's Orthopaedic and Scoliosis Surgery Associates, LLP; Tampa (FL); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

95% employer medical premium

Dental coverage

Life insurance $20,000

PTO & sick days

Profit-sharing retirement plan

Traditional and Roth 401(k)

Certification support (CPC/CPB)

Job summary

COSSA is seeking an experienced Medical Billing Specialist to join our pediatric orthopaedic practice. This role focuses on insurance accounts receivable, denial resolution, and ensuring accurate, timely payment for physician services. You will work independently with support from a billing team. On-site at our St.

Petersburg or Tampa office, hours are 8:30 a.m. to 5:00 p.m. New employees receive 90 days of onboarding and training in our systems and workflows, with generous benefits and growth

Qualifications

• Research and resolve outstanding insurance balances using payer portals.
• Review electronic claim rejections and denials and submit corrective actions.
• Investigate underpayments using payer policies, contracts, and fee schedules.
• Prepare appeal letters supported by documentation and payer requirements.
• Maintain accurate account notes and track follow-up deadlines.
• Coordinate with verification, front desk and charge entry staff.

Responsibilities

• Resolve insurance balances via payer portals and insurer communications.
• Submit corrected claims, reconsiderations, and appeals for denied claims.
• Investigate underpayments using contracts and fee schedules.
• Prepare appeal letters with required documentation.
• Maintain detailed notes and track deadlines for follow-ups.
• Coordinate with verification, front desk and charge entry staff.
• Identify denial patterns to improve workflows and edits.
• Assist with A/R reporting and escalate unresolved issues.
• Respond to patient and insurer inquiries about balances.

Skills

Insurance billing

Accounts receivable

Denials resolution

Communication

Problem solving

Tools

Payer portals

Job description

Children’s Orthopaedic and Scoliosis Surgery Associates, LLP (COSSA) is seeking an experienced Medical Billing Specialist to join our pediatric orthopaedic practice. This position focuses on insurance accounts receivable, denial resolution, and obtaining accurate, timely payment for physician services.

You will work independently on assigned accounts, with support from an established billing team. We value people who investigate problems, follow through, share knowledge, and help prevent recurring billing issues.

Responsibilities

• Research and resolve outstanding insurance balances using payer portals and direct communication with insurance representatives.
• Review electronic claim rejections and denials, determine the appropriate corrective action, and submit corrected claims, reconsiderations, and appeals.
• Investigate underpayments using payer policies, contracts, and fee schedules.
• Prepare appeal letters supported by relevant documentation and payer requirements.
• Maintain accurate account notes, document denial reasons, and track follow-up and appeal deadlines.
• Apply appropriate contractual adjustments and manage secondary insurance billing and patient responsibility.
• Coordinate with insurance verification, front desk, and charge entry staff to resolve registration, authorization, and claim errors.
• Identify denial patterns and help improve workflows and claim edits to prevent repeat problems.
• Assist with A/R reporting and enlist unresolved problems to payer representatives and management.
• Respond professionally to patient and insurance inquiries about account balances.

Schedule and Location

On-site at our St. Petersburg or Tampa office. Standard department hours are 8:30 a.m. to 5:00 p.m.

New employees receive 90 days of onboarding and training in our systems, payer processes, and practice workflows.

• Employer pays 95% of the employee medical insurance premium.
• Dental coverage and a $20,000 life insurance policy.
• Insurance benefits begin the first day of the month after your 30-day anniversary.
• First-year accrual of 16 PTO days and 5 sick/serious illness days.
• Employer-funded profit-sharing retirement plan, with contributions beginning after one year and 20% annual vesting over five years. Historical annual contributions have been at least 14%. Future contributions are not guaranteed.
• Traditional and Roth 401(k) employee contribution options.
• Employer-paid CPC or CPB certification for employees pursuing certification within two years.

This is an employment opportunity for an individual billing professional. We are not seeking outsourced billing services.