Medical Billing A/R Specialist — Denials & Rebill Expert

PedIM Healthcare; Florida; On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health coverage

Health Savings Account (HSA)

Life insurance

Paid time off

401(k) plan + 4% company match

Relax Scofa membership

Employee Assistance Program (EAP)

Employee Recognition Program

Job summary

PedIM Healthcare is seeking a detail-oriented Medical Billing Insurance A/R Specialist to join our Citrus County office. You will manage insurance aging, follow up on unpaid or denied claims, and ensure timely payments while collaborating with providers for required documentation.

This on-site role offers benefits and a stable, team-focused environment within a multi-discipline practice serving patients across ages.

Qualifications

• Experience in medical billing and insurance accounts receivable.
• Knowledge of Medicare, Medicaid, and commercial insurance billing.
• Understanding CPT, ICD-10, HCPCS, and modifiers.
• Experience with denial management and claim corrections.
• Familiarity with EMR/EHR and billing systems (eClinicalWorks preferred).
• Strong attention to detail and organization.
• Ability to multitask in a fast-paced environment.
• Excellent communication and problem-solving skills.
• Experience with aging reports and high-volume follow-up.
• Knowledge of insurance appeals processes.
• Ability to improve workflow efficiency and identify billing issues.
• Teamwork and professionalism.

Responsibilities

• Review and work insurance aging reports daily.
• Follow up with insurance companies on unpaid, denied, or underpaid claims.
• Research and resolve claim denials and rejections.
• Correct and rebill claims as necessary.
• Verify claim status, eligibility, authorizations, and payment information.
• Post claim notes and maintain accurate account documentation.
• Identify billing trends and report recurring issues to management.
• Work closely with providers and staff to obtain needed documentation or corrections.
• Ensure claims are processed in compliance with insurance guidelines and company policies.
• Meet daily productivity and quality expectations.
• Assist with payment reconciliation and identifying missing EOBs when needed.

Skills

Medical billing & AR

Insurance follow-up

Denial management

Communication skills

Tools

EMR/EHR

eClinicalWorks

CPT/ICD-10/HCPCS

Claims correction

Job description

PedIM Healthcare is seeking a detail-oriented Medical Billing Insurance A/R Specialist to join our Citrus County office. You will manage insurance aging, follow up on unpaid or denied claims, and ensure timely payments while collaborating with providers for required documentation.

This on-site role offers benefits and a stable, team-focused environment within a multi-discipline practice serving patients across ages.