Medical Billing Denials & Claims Resolution Specialist

The-Residence-At-Dania-Beach-; Florida; On-site; USD 38,000 - 58,000; Full time

Job summary

The Residence at Dania Beach is seeking a detail-oriented Medical Billing Secretary to join our team on site in Florida. You will handle denial management, payer follow-ups, and ensure reimbursements are processed accurately.

Ideal candidates have strong communication skills, solid understanding of medical billing and coding, and the persistence to resolve outstanding claims, with experience navigating insurance portals and applying payer guidelines.

Qualifications

• Proficiency in healthcare billing software.
• Strong analytical, organizational, and multitasking skills.
• Excellent verbal and written communication abilities.

Responsibilities

• Reviews and works on unpaid claims, identifying and rectifying billing issues.
• Communicates with insurance companies regarding discrepancies in payments.
• Conducts research and appeals denied claims timely.
• Reviews Explanation of Benefits (EOBs) to determine denials or partial payment reasons.
• Provides detailed notes on actions taken and next steps for unpaid claims.
• Collaborates with the billing team to ensure accurate claim submission.
• Maintains an understanding of the insurance follow-up process, payer guidelines, and compliance requirements.
• Resubmits claims with necessary corrections or supporting documentation when needed.
• Tracks and documents trends related to denials and works toward a resolution with the billing team.
• Assists patients with inquiries related to their insurance claims.

Skills

Billing software

Analytical skills

Organizational skills

Verbal & written communication

Payer navigation

Tools

Billing software

Job description

The Residence at Dania Beach is seeking a detail-oriented Medical Billing Secretary to join our team on site in Florida. You will handle denial management, payer follow-ups, and ensure reimbursements are processed accurately.

Ideal candidates have strong communication skills, solid understanding of medical billing and coding, and the persistence to resolve outstanding claims, with experience navigating insurance portals and applying payer guidelines.