Medical Billing Specialist - Charge Specialist

Optivate Health, LLC; Florida; On-site; USD 42,000 - 62,000; Full time

Job summary

Optivate Health, LLC seeks a detail-oriented Medical Billing Specialist to join its RCM division. You will submit claims, follow up on denials, generate billing reports, and resolve patient and payer discrepancies. Strong analytical skills, attention to detail, and excellent communication are essential.

This is a collaborative role supporting our ophthalmology-focused platform. Experience in CPT/ICD-10-CM and Microsoft Office is required; HIPAA compliance and ability to meet deadlines are

Qualifications

• Minimum 3–5 years of medical billing experience.
• Proficient in CPT and ICD-10-CM coding.
• Strong understanding of healthcare insurance billing procedures.
• Proficient with Microsoft Word and Excel.

Responsibilities

• 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.

Skills

Medical billing experience

Analytical skills

Attention to detail

Communication skills

Teamwork

Time management

Education

High school diploma or equivalent

Tools

Microsoft Office Suite

Job description

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