Medical Claims Denials & Reimbursement Specialist

The Residence at Dania Beach; Florida; On-site; USD 38,000 - 52,000; Full time

Job summary

The Residence at Dania Beach is seeking a detail-oriented secretary to support medical billing operations. You will work closely with the billing team to rectify denials, settle disputes, and secure reimbursements while maintaining clear records and patient communications.

The ideal candidate will understand medical billing and coding, demonstrate strong communication skills, and be proactive in resolving outstanding claims and inquiries from patients and insurers.

Qualifications

• Strong analytical and problem-solving abilities.
• Excellent organizational and multitasking capabilities.
• Clear and professional verbal communication.
• Accurate written communication and note-taking.
• Proficient in navigating payer websites and online portals.
• Familiarity with common medical billing processes.

Responsibilities

• Reviews unpaid claims and identifies billing issues to rectify denials.
• Contacts insurance companies to resolve payment discrepancies when needed.
• Researches and appeals denied claims in a timely manner.
• Reviews EOBs to determine denial or partial payment reasons.
• Documents detailed notes on actions and next steps for unpaid claims.
• Collaborates with billing team to ensure accurate claim submission.
• Keeps up-to-date on insurance follow-up processes and payer guidelines.
• Resubmits claims with proper corrections or documentation when required.
• Tracks trends in denials and works with the billing team toward resolution.
• Assists patients with inquiries related to insurance claims with clear information.
• Performs other duties as assigned.

Skills

Analytical skills

Organizational skills

Multitasking

Verbal communication

Written communication

Payer websites navigation

Tools

Healthcare billing software

Job description

The Residence at Dania Beach is seeking a detail-oriented secretary to support medical billing operations. You will work closely with the billing team to rectify denials, settle disputes, and secure reimbursements while maintaining clear records and patient communications.

The ideal candidate will understand medical billing and coding, demonstrate strong communication skills, and be proactive in resolving outstanding claims and inquiries from patients and insurers.