Medical Billing Specialist (Denials)

Citrus Cardiology Consultants, P.L.L.C.; Inverness (FL); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Health Savings Account (HSA)

Life insurance

Paid Time Off (PTO)

Supplemental plan

Job summary

Citrus Cardiology Consultants, P.L.L.C. in Inverness, FL is seeking a denial management specialist to investigate, appeal, and resolve denied medical claims. You will review EOBs, audit charts, and communicate with insurers and staff to maximize revenue.

This role requires attention to detail, proficiency with Excel and EMR systems (eCW preferred), and at least two years of denial experience. A high school diploma or GED is required.

Qualifications

• Strong analytical and communication skills with exceptional attention to detail.
• Two years of medical denial experience required.
• Experience accessing insurance portals.
• Proficient in Microsoft Excel and EMR systems, eCW preferred.

Responsibilities

• Process denied claims and follow up with insurance companies to resolve discrepancies or reimbursement issues.
• Audit patient charts to confirm proper coding and documentation for billing accuracy.
• Read, analyze, and interpret Explanation of Benefits (EOBs) to determine next steps for claim resolution.
• Ensure all denials are submitted with complete and accurate information.
• Ensure that denials are worked on daily and assist with tasks as assigned.
• Process electronic and paper payment postings efficiently and accurately.
• Communicate regularly with administrative and clinical staff, preparing detailed reports for administration as needed.

Skills

Analytical skills

Communication skills

Attention to detail

Education

High school diploma or GED

Tools

Microsoft Excel

EMR systems (eCW)

Job description

This position is responsible for investigating, resolving, and appealing denied medical insurance claims to maximize revenue and minimize outstanding accounts receivable. This role requires a strong understanding of insurance guidelines, billing codes, and medical documentation standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Process denied claims and follow up with insurance companies to resolve discrepancies or reimbursement issues.
• Audit patient charts to confirm proper coding and documentation for billing accuracy.
• Read, analyze, and interpret Explanation of Benefits (EOBs) to determine next steps for claim resolution.
• Ensure all denials are submitted with complete and accurate information.
• Ensure that denials are worked on daily and assist with tasks as assigned.
• Process electronic and paper payment postings efficiently and accurately.
• Communicate regularly with administrative and clinical staff, preparing detailed reports for administration as needed.

EDUCATION AND/OR EXPERIENCE

• High school diploma or GED required
• Two years of medical denial experience required
• Previous experience accessing insurance portals
• Proficient in Microsoft Excel and EMR systems, eCW preferred
• Strong analytical and communication skills with exceptional attention to detail

Why Join Us?

Benefits Include:

• Medical insurance
• Vision insurance
• Health Savings Account (HSA)
• Life insurance
• Paid Time Off (PTO)
• Additional supplemental plan available as well!