Medical Billing & Coding Specialist — TPL/MVA Focus

Omega Healthcare Management Services; Boca Raton (FL); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Bonus programs

Job summary

Omega Healthcare Management Services is hiring a Medical Biller for full-time work in Boca Raton, FL. The role requires 3–5 years of medical billing and coding experience, with Workers Compensation and Third-Party Liability experience.

The candidate must hold AAPC or AHIMA coding certificates and related licenses (CPC/COC/CIC/RHIA/RHIT/CCS/CCS-P). Excellent communication, leadership, and multitasking abilities are essential.

Qualifications

• Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of three to five years of medical billing and/or coding experience.
• Experience with Workers Compensation and Third-Party Liability/MVA billing and collections.
• Experience with Third Party Liability/Attorney collections.

Responsibilities

• Analyzes, investigates, and resolves account issues, including resubmitting and updating line and claim document information.
• Updates medical claims with corrected billing information and releases claims for transmission to the payer.
• Investigates and documents actions taken to resolve medical billing discrepancies and unusual charges and credits.
• Works high priority Third-Party Liability/MVA/WC cases according to department policies and procedures.
• Conducts research to determine related paid claims for subrogation cases, including identification and validation of TPL/MVA/WC claims cost avoidance.
• Receives and responds to inquiries from various sources regarding TPL/MVA/WC verification, billing, and collections.
• Evaluates case status based on established criteria and maintains proactive communication with the third party.
• Ensures patient service charges are entered into the billing system.
• Demonstrates ability to multi-task in a fast-paced environment.
• Demonstrates leadership, mentoring, and interpersonal skills.
• Demonstrates excellent presentation, verbal, and written communication skills.
• Maintains relationships with key business partners with credibility and trust.
• Demonstrates strong analytical, critical thinking and problem-solving skills.
• Proficient with a variety of software applications.

Skills

Attention to detail

Communication

Leadership

Problem solving

Team collaboration

Education

AAPC or AHIMA coding certificate

CPC, COC, CIC, RHIA, RHIT, CCS, CCS-P licenses

Tools

Epic Experience

Microsoft Office

Oracle

ADP

ReviewMate

Job description

Omega Healthcare Management Services is hiring a Medical Biller for full-time work in Boca Raton, FL. The role requires 3–5 years of medical billing and coding experience, with Workers Compensation and Third-Party Liability experience.

The candidate must hold AAPC or AHIMA coding certificates and related licenses (CPC/COC/CIC/RHIA/RHIT/CCS/CCS-P). Excellent communication, leadership, and multitasking abilities are essential.