Medical Billing Specialist A/R

Optivate Health, LLC; Florida; Vor Ort; USD 45.000 - 65.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision

401(k)

Growth opportunities

Collaborative culture

Zusammenfassung

Optivate Health, LLC is seeking a detail-oriented Medical Billing Specialist to join our RCM team in Florida. You will submit claims, manage patient accounts, and resolve billing issues to support timely reimbursements and financial health.

You will analyze billing activity, follow up on denials, post payments, and generate regular reports. Strong communication, HIPAA awareness, and proficiency with CPT/ICD-10-CM coding and Microsoft Office are essential for success in this role.

Qualifikationen

• 3–5 years of experience in medical billing.
• Proficient in CPT and ICD-10-CM coding.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficiency with Microsoft Office Suite.

Aufgaben

• Submit claims electronically to insurance companies.
• Review and follow up on denied claims to ensure proper reimbursement.
• Generate and analyze reports on billing activity.
• Research and resolve discrepancies in patient information and claims.
• Post payments to Accounts Receivable and apply adjustments.
• Prepare and submit daily/weekly/monthly reports on payment activity.
• Communicate effectively with team members and provide excellent patient service.
• Maintain HIPAA compliance and follow company policies.

Kenntnisse

Medical billing

CPT & ICD-10-CM coding

Analytical skills

Attention to detail

Communication skills

Microsoft Excel

Teamwork

Ausbildung

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Jobbeschreibung

Position Summary

We are seeking a detail-oriented and organized individual to join Optivate’s RCM division as a Medical Billing Specialist. In this crucial role, you will play a vital part in ensuring timely and accurate claim processing and financial health for our Company. You will be responsible for submitting claims to insurance companies, managing patient accounts, and resolving billing issues. This position requires strong analytical skills, attention to detail, and excellent communication abilities.

Key Responsibilities

• Submit claims electronically to insurance companies.
• Review and follow up on denied claims to ensure proper reimbursement. This includes but is not limited to; calling insurance payers, preparing appeals, resubmitting claims, and contacting patients.
• Generate and analyze reports on billing activity and identify areas for improvement.
• Research and resolve discrepancies in patient information and claims
• Identifies and reports unpaid/underpaid claim trends
• Post Payments as required to Accounts Receivable.
• Apply adjustments to patient accounts as appropriate.
• Research and resolve discrepancies in payment postings.
• Prepare and submit daily/weekly/monthly reports on payment activity as directed by management.
• Communicate effectively with other members of the team.
• Maintain a positive and collaborative working environment with other team members.
• Provides excellent customer services to patients and clients.
• Providers support to the client as requested or needed.
• Maintains up- to- date knowledge of industry knowledge/changes.
• Follow established company policies and procedures.
• Abides by HIPAA Policy.
• Other Duties as assigned.

Qualifications

• High school diploma or equivalent required
• Minimum of 3-5 years of experience in medical billing field required.
• Proficiency in medical coding systems (CPT, ICD-10- CM)
• Excellent understanding of healthcare insurance billing procedures.
• Strong analytical and problem- solving skills
• Excellent attention to detail and accuracy.
• Proficient in Microsoft Office Suite (Word, Excel).
• Ability to work independently and as part of a team.
• Excellent communication and interpersonal skills.
• Ability to meet deadlines.
• Strong organizational and time management skills.
• Ability to learn new software and procedures quickl

Why Join Optivate?

• Opportunity to help scale a rapidly growing ophthalmology-focused healthcare technology platform
• High-impactrole with directexposure to executive leadership and strategic growth initiatives
• Comprehensive benefits including medical, dental, vision, and 401(k)
• Backing from a growth-oriented private equity partner committed to long-term investment and innovation
• Collaborative, entrepreneurial culture focused onthe success of the customerand operational excellence
• Competitive compensation package and long-term growth potential