Medical Billing Data Specialist — Claims & Data Integrity

SFP Health Group; Town of Florida (NY); On-site; USD 42,000 - 56,000; Full time

Job summary

SFP Health Group in Kissimmee, FL is seeking a meticulous Medical Billing Data Specialist to enter, review, and maintain patient, insurance, and billing data within our billing and EHR systems. This role supports the billing process by ensuring information is complete, accurate, and entered within deadlines.

You will collaborate with billing, clinical, front-office, and administrative teams to ensure complete, accurate data and support timely submission and processing of claims.

Qualifications

• High school diploma or equivalent is required.
• 1+ year experience in data entry, billing, medical administration or related clerical role preferred.
• Healthcare or medical billing experience preferred.
• Experience using EHRs, practice management systems, or billing software is preferred.
• Strong keyboarding and data-entry skills.

Responsibilities

• Enter patient demographics, insurance information, charges, procedures, payments, adjustments, and other billing-related data into systems.
• Review billing documents for completeness and accuracy before submission.
• Verify patient and insurance details against supporting documents.
• Identify missing or inconsistent information and follow up with relevant departments.
• Assist with preparation and submission of insurance claims per procedures.
• Review claims for data-entry errors and correct as needed.
• Enter payments, adjustments, write-offs, and other updates to accounts.
• Maintain organized electronic billing records and proper categorization of documents.
• Assist in reconciling billing reports and identify discrepancies.
• Monitor work queues and complete tasks within turnaround times.
• Communicate professionally with internal departments about missing documentation or billing concerns.
• Maintain confidentiality of patient and financial information and comply with HIPAA.

Skills

Attention to detail

Organizational skills

Time management

Communication skills

Teamwork

Confidentiality

Learning mindset

Data entry

Education

High school diploma or equivalent

Tools

Electronic Health Records (EHR)

Billing software

Practice management systems

Job description

SFP Health Group in Kissimmee, FL is seeking a meticulous Medical Billing Data Specialist to enter, review, and maintain patient, insurance, and billing data within our billing and EHR systems. This role supports the billing process by ensuring information is complete, accurate, and entered within deadlines.

You will collaborate with billing, clinical, front-office, and administrative teams to ensure complete, accurate data and support timely submission and processing of claims.