Strategic Government Billing & Collections Specialist

Coral West Community Hospital; Miami (FL); Hybrid; USD 42,000 - 66,000; Full time

Job summary

Coral West Community Hospital in Miami seeks a billing specialist to coordinate billing and collections, with knowledge of physician billing, insurance collections experience, and proficiency in ICD-10 and CPT coding.

Responsibilities include processing EDI and ERA files, submitting claims, reconciling denials, contacting insurers, and ensuring accurate billing data while maintaining patient privacy and compliance.

Qualifications

• 2+ years of medical billing and collections experience.
• Knowledge of insurance carrier payment policies and practices.
• Familiarity with the DDE system.
• Detail-oriented with strong organizational skills.
• Ability to prioritize and work under pressure.

Responsibilities

• Coordinate billing and collection activity for the hospital.
• Process EDI transactions and ERA files; reconcile submissions.
• Verify accuracy of billing data and correct errors.
• Create itemized statements, bills, and invoices.
• Follow-up with insurance carriers on outstanding balances.
• Manage denials, appeals, and corrected claims.
• Maintain Medicare/Medicaid demographics and guidelines.

Skills

Medical billing

EDI processing

ICD-10 CPT

Insurance collections

Denials management

DDE system

Communication skills

Education

Accounting degree

Tools

HMS

Job description

Coral West Community Hospital in Miami seeks a billing specialist to coordinate billing and collections, with knowledge of physician billing, insurance collections experience, and proficiency in ICD-10 and CPT coding.

Responsibilities include processing EDI and ERA files, submitting claims, reconciling denials, contacting insurers, and ensuring accurate billing data while maintaining patient privacy and compliance.