Workers' Comp Medical Billing Specialist (Hybrid)

Summit; Lakeland (FL); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) with company match

Paid time off & holidays

Commuter benefits

Job summary

SCI Summit Consulting, LLC is seeking a Medical Billing Specialist to process workers' compensation bills and ensure compliance with HIPAA and regulatory requirements. The role requires 3+ years in medical billing and a high attention to detail.

On-site four days per week with one remote day, the position offers full benefits and opportunities to support claims with providers and claimants across the region.

Qualifications

• Proficiency in medical terminology and billing software.
• High attention to detail and accuracy.
• Knowledge of insurance billing policies and third-party payers.
• Strong customer service skills for handling patient inquiries related to billing.
• Ability to manage multiple tasks and prioritize workload.
• Proven ability to handle confidential information with discretion.

Responsibilities

• Reviews and processes medical bills for workers' compensation claims, ensuring accuracy and compliance with company policies and regulatory requirements.
• Determines the validity of medical bills by cross-referencing with claim details and medical records.
• Assists with reconciling billing discrepancies and resolving issues with medical providers and claimants.
• Ensures all billing practices comply with state and federal regulations, including HIPAA and workers' compensation laws.
• Provides support to claimants and medical providers. Assists with addressing inquiries and resolving billing disputes.
• Maintains accurate and up-to-date records of all billing activities and communications.
• Generates reports on billing activities.
• Participates in collaborating with claims representatives, medical providers, and other internal departments to ensure seamless processing of medical bills.
• Assists in identifying training issues and may assist with providing training to processors.
• Performs other duties as assigned.
• Great American's culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely.

Skills

Medical billing

Customer service

Attention to detail

HIPAA compliance

Education

High School Diploma or equivalent

Tools

Billing software

Job description

SCI Summit Consulting, LLC is seeking a Medical Billing Specialist to process workers' compensation bills and ensure compliance with HIPAA and regulatory requirements. The role requires 3+ years in medical billing and a high attention to detail.

On-site four days per week with one remote day, the position offers full benefits and opportunities to support claims with providers and claimants across the region.