Medical Biller - Hybrid (must live in central FL)

Prismhr Hire; Celebration (FL); Hybrid; USD 40,000 - 55,000; Full time

Benefits offered by this job

Paid vacation

Company holidays (7)

Health and dental insurance

401k

Uniform allowance

And more

Job summary

Medinex Healthcare Solutions is seeking a detail-oriented Medical Biller to join our growing team in a hybrid role serving Central Florida. You will manage the full billing lifecycle from eligibility verification to payment posting and follow-up, ensuring accuracy, compliance, and patient advocacy.

The role requires experience with medical billing and coding, CPT/ICD-10 familiarity, and proficiency in billing software, with strong communication and teamwork skills to support patients and

Qualifications

• Based in central FL.
• High school diploma or equivalent.
• Experience with medical billing and claims processing.
• Competency in outpatient and inpatient medical coding.
• Working knowledge of CPT and ICD-10 coding.
• Familiarity with insurance guidelines, including HMO/PPO plans, Medicare (MIPS/MACRA), Medicaid, and other payer requirements.
• Proficiency with computer systems and electronic medical billing software.
• Strong verbal and written communication skills.
• Ability to multitask, prioritize work, and manage time effectively.
• Strong problem-solving skills and attention to detail.
• Ability to work collaboratively in a team environment.
• Knowledge of medical terminology commonly used in medical billing.
• Commitment to maintaining patient confidentiality in compliance with HIPAA.

Responsibilities

• Verify patient insurance eligibility and benefits.
• Review medical coding prior to claim submission to ensure accuracy and compliance.
• Prepare, review, and submit medical claims using billing software, including both electronic and paper claims.
• Review patient invoices for accuracy.
• Follow up on unpaid or underpaid claims within designated timeframes.
• Review insurance payments for accuracy and compliance with payer contracts.
• Contact insurance companies to resolve payment discrepancies when needed.
• Identify and submit claims to secondary and tertiary insurance carriers.
• Review accounts for insurance and patient follow-up.
• Research, appeal, and resolve denied or rejected claims in a timely manner.
• Respond to patient and insurance inquiries related to assigned accounts via phone.
• Set up patient payment plans and manage collection accounts as appropriate.
• Monitor assigned accounts to ensure appropriate and timely reimbursement.
• Communicate effectively with clients, internal support staff, and account managers as needed.
• Maintain strict patient confidentiality in accordance with HIPAA regulations.

Skills

Medical billing

HIPAA compliance

Attention to detail

Communication

Multitasking

Teamwork

Medical terminology

Education

High school diploma

Tools

Billing software

EMR software

Job description

Medical Biller - Hybrid

Must live in Central FL

About the Role:

We are seeking a detail-oriented and highly organized Medical Biller to join our growing team. In this role, you will be responsible for managing the full medical billing lifecycle: from eligibility verification and claim submission to payment posting and follow-up, while providing excellent service to both patients and internal stakeholders. This is a great opportunity for someone who thrives in a collaborative, fast-paced environment and takes pride in accuracy, compliance, and patient advocacy.

Join our Team!

At Medinex Healthcare Solutions, our mission is to be a resource for healthcare providers operating privately owned independent practices, with the goal of reducing the administrative burden so practitioners can focus on delivering the highest quality of care while at the same time improving both the operational and financial performance of the practice.

Key Responsibilities:

• Verify patient insurance eligibility and benefits
• Review medical coding prior to claim submission to ensure accuracy and compliance
• Prepare, review, and submit medical claims using billing software, including both electronic and paper claims
• Review patient invoices for accuracy
• Follow up on unpaid or underpaid claims within designated timeframes
• Review insurance payments for accuracy and compliance with payer contracts
• Contact insurance companies to resolve payment discrepancies when needed
• Identify and submit claims to secondary and tertiary insurance carriers
• Review accounts for insurance and patient follow-up
• Research, appeal, and resolve denied or rejected claims in a timely manner
• Respond to patient and insurance inquiries related to assigned accounts via phone
• Set up patient payment plans and manage collection accounts as appropriate
• Monitor assigned accounts to ensure appropriate and timely reimbursement
• Communicate effectively with clients, internal support staff, and account managers as needed
• Maintain strict patient confidentiality in accordance with HIPAA regulations

Minimum Qualifications:

• Based in central FL
• High school diploma or equivalent
• Experience with medical billing and claims processing
• Competency in outpatient and inpatient medical coding
• Working knowledge of CPT and ICD-10 coding
• Familiarity with insurance guidelines, including HMO/PPO plans, Medicare (MIPS/MACRA), Medicaid, and other payer requirements
• Proficiency with computer systems and electronic medical billing software
• Strong verbal and written communication skills
• Ability to multitask, prioritize work, and manage time effectively
• Strong problem-solving skills and attention to detail
• Ability to work collaboratively in a team environment
• Knowledge of medical terminology commonly used in medical billing
• Commitment to maintaining patient confidentiality in compliance with HIPAA

Preferred Qualifications:

• Experience with E-Clinical and Tebra
• Prior experience communicating directly with insurance payers to resolve discrepancies
• Customer service experience working directly with patients and families
• Experience setting up patient payment plans and managing collections
• Demonstrated ability to research, appeal, and resolve denied or rejected claims
• Experience working in a remote or fast-paced healthcare environment
• Commitment to continuing education and staying current with billing and coding updates

We offer:

• A warm, supportive team environment
• Opportunities to expand clinical skills in women’s health
• The chance to make a meaningful impact on patient lives every day
• Our compensation package is generous, including paid vacation time, company holidays (7), health and dental insurance, 401k, uniform allowance, and more.

Schedule

Full-time, 8-hour shifts (M-F)

We look forward to hearing from you!