Credentialing Coordinator
Billing specialist job in Tampa, FL
The Credentialing Coordinator will act as the intermediary between our client facilities and internal staff. The position may include but is not limited to responsibility for credentialing and re-credentialing applications for health care providers. This is an entry-level position that will focus on set up, and maintaining information in an online credentialing database system, and tracking licenses and certifications expiration for all medical staff to ensure timely renewals. Setting up drug screens, physicals, immunizations, performing background checks, and anything additional needed for the candidate to start their assignment. This position is a perfect chance to jump-start your career and grow within a thriving company.
Essential Job Duties and Responsibilities:
● Review and meticulously edit a specific set of compliance documentation to be
included in an overall compliance package for our client facilities
● Ensure all reviewed documents exactly meet Cell Staff compliance guidelines
and the facilities' requirements
● Reach all compliance deadlines to client and company specifications
● Provide customer service to our clients
● When needed set up drug screens, physicals, immunizations, and anything
additional for a candidate to start their assignment
● Run background checks
● Frequently use written and verbal communication with recruiters providing
compliance updates
● Work with recruiters to obtain incomplete information or correct inaccurate
documentation before it is submitted to our client facilities
● Work with multiple internal departments to process a substantial volume of
documents
● Audit information in documents for accuracy and proactively work to minimize
future errors
● Call attention to discrepancies and work amicably with coworkers to perfect
documents
● Learn and maintain a knowledge base of current company, state, and federal
regulations to ensure the greatest possible compliance
● Assist the Credentialing Manager and Assistant Manager with special projects.
● Ensure all active staff remains compliant and maintain current required
credentials
● Send new hire welcome box to all external new hires
● Any additional duties assigned
Required Education:
● Bachelor's Degree -OR- Associate Degree with 2+ Years Customer Service,
Healthcare Staffing Compliance/Credentialing, or Related Experience
Skills Required:
● Attention to detail
● Exceptional written and verbal communication skills
● Ability to always remain professional and courteous with all internal and external
employees, vendors, or clients
● Organization skills, as the job entails extensive record-keeping
● Team-oriented
● Willingness to learn and take on new challenges
● Problem-solving
● Microsoft Office and Google Workspace basic knowledge
● Ability to quickly and proficiently learn software systems
Physical & Work Environment Requirements:
● Sitting in a chair at a desk for 8 hours
● Option to stand (standing desk provided)
● Ability to work in an open/team environment
● Ability to work in office
Billing Specialist
Billing specialist job in Tampa, FL
Laboratory Billing Specialist - Full Time
Location: Tampa, FL | Department: Revenue Cycle / Billing | Status: Full-Time (40 hours), Onsite
LabX Diagnostic Systems is a fast-growing clinical laboratory based in Tampa, specializing in advanced toxicology and diagnostic testing. We are committed to excellence in compliance, accuracy, and efficiency - ensuring that every patient and provider receives precise results and transparent billing.
Position Overview
We are seeking an experienced Laboratory Billing Specialist with a strong background in medical/laboratory billing and coding, including familiarity with payer policies, reimbursement guidelines, and healthcare reform updates. This role requires someone with excellent organizational skills, strong attention to detail, and the ability to work independently in a high-volume, compliance-driven environment.
Key Responsibilities
Ensure all billing activities comply with HIPAA and regulatory standards.
Review and enter accurate CPT, HCPCS, and ICD-10 codes for laboratory services.
Verify insurance eligibility, obtain preauthorizations, and process required documentation.
Monitor payer requirements, updates, and policy changes to ensure timely reimbursement.
Process and submit clean claims through clearinghouse or payer portals.
Identify and correct claim errors, handle denials and appeals, and track outstanding accounts.
Maintain accurate billing documentation and correspondence records.
Collaborate with the customer service and operations teams to resolve billing discrepancies.
Utilize Microsoft Office and billing software to track productivity and performance metrics.
Work independently with minimal supervision while maintaining accuracy and timeliness.
Qualifications
Education:
High School Diploma or GED required
Associate's or Bachelor's Degree preferred
Certification (CPC, CPB, or equivalent) a plus
Experience:
2+ years of medical billing experience required (laboratory billing strongly preferred)
Knowledge of payer policies, insurance reforms, and coding standards
Proficiency in Microsoft Office (Excel, Outlook, Word)
Excellent written and verbal communication skills
Detail-oriented, organized, and dependable
Benefits
Health, Dental, and Vision Insurance (eligible after 90 days)
Paid Time Off (PTO) and Holidays
Opportunities for growth and continuing education
Supportive team environment focused on integrity and excellence
Ideal Candidate Traits
✅ Dependable - reliable and consistent in completing tasks
✅ People-Oriented - enjoys team collaboration and provider communication
✅ Detail-Oriented - focused on accuracy and documentation precision
✅ Self-Starter - able to prioritize, stay organized, and meet deadlines independently
Compensation
Competitive pay based on experience: $55,000-$70,000 annually
Bonus potential based on performance and billing accuracy
Auto-ApplyMedical Billing Specialist
Billing specialist job in Tampa, FL
Job DescriptionJob Title: Medical Billing Specialist Employment Type: Full-Time Remote We are seeking a highly experienced and motivated Medical Biller to participate in all aspects of the billing cycle for a growing healthcare management company. This is a hands-on leadership role ideal for someone with deep billing expertise in primary care and cardiology, a strong grasp of revenue cycle management, and the ability to implement operational improvements. The ideal candidate will thrive in a dynamic environment, working independently with our Billing Team.
This is a growth opportunity for a seasoned professional looking to establish that will support multiple practices and providers nationwide.
Key Responsibilities:
Manage and actively participate in the end-to-end billing cycle: charge entry, claim submission, payment posting, denial management, and AR follow-up.
Oversee billing operations for primary care and cardiology specialties, ensuring clean claims and timely reimbursements.
Set and monitor performance metrics including:
Days in Accounts Receivable (AR)
First-pass resolution rate (FPRR)
Denial rate and resolution time
Clean claim rate
Net collection rate
Develop and implement efficient billing workflows and denial prevention strategies.
Evaluate billing processes and make recommendations for improvements or technology enhancements.
Collaborate with providers, office managers, and executive leadership to resolve issues and streamline communication.
Ensure compliance with payer policies, billing regulations, and HIPAA requirements.
Monitor payer trends, reimbursement issues, and coding updates relevant to internal medicine and cardiology.
Requirements:
Minimum 5+ years of medical billing experience, with a strong focus on primary care and cardiology.
Experience productivity and KPIs.
Certified Professional Biller (CPB) or equivalent certification strongly preferred.
Proficiency with EMR systems (eClinicalWorks, Athena, AdvancedMD, etc.).
Strong understanding of ICD-10, CPT, and HCPCS coding, modifiers, and payer rules.
Proven ability to work independently and effectively lead a remote team.
Detail-oriented, analytical, and results-driven.
Excellent communication and problem-solving skills.
Why Join Us?
Opportunity to build and lead a national billing division from the ground up.
Make a meaningful impact in a fast-growing, mission-driven company.
Hourly Rate: $21-23/hour
Company pays 90% of Health Benefits
401K, Vision, and Dental available
Remote Position
Collaborative and supportive leadership team.
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Medical Billing Specialist
Billing specialist job in Tampa, FL
Job Title: Medical Billing Specialist Employment Type: Full-Time Remote We are seeking a highly experienced and motivated Medical Biller to participate in all aspects of the billing cycle for a growing healthcare management company. This is a hands-on leadership role ideal for someone with deep billing expertise in primary care and cardiology, a strong grasp of revenue cycle management, and the ability to implement operational improvements. The ideal candidate will thrive in a dynamic environment, working independently with our Billing Team.
This is a growth opportunity for a seasoned professional looking to establish that will support multiple practices and providers nationwide.
Key Responsibilities:
Manage and actively participate in the end-to-end billing cycle: charge entry, claim submission, payment posting, denial management, and AR follow-up.
Oversee billing operations for primary care and cardiology specialties, ensuring clean claims and timely reimbursements.
Set and monitor performance metrics including:
Days in Accounts Receivable (AR)
First-pass resolution rate (FPRR)
Denial rate and resolution time
Clean claim rate
Net collection rate
Develop and implement efficient billing workflows and denial prevention strategies.
Evaluate billing processes and make recommendations for improvements or technology enhancements.
Collaborate with providers, office managers, and executive leadership to resolve issues and streamline communication.
Ensure compliance with payer policies, billing regulations, and HIPAA requirements.
Monitor payer trends, reimbursement issues, and coding updates relevant to internal medicine and cardiology.
Requirements:
Minimum 5+ years of medical billing experience, with a strong focus on primary care and cardiology.
Experience productivity and KPIs.
Certified Professional Biller (CPB) or equivalent certification strongly preferred.
Proficiency with EMR systems (eClinicalWorks, Athena, AdvancedMD, etc.).
Strong understanding of ICD-10, CPT, and HCPCS coding, modifiers, and payer rules.
Proven ability to work independently and effectively lead a remote team.
Detail-oriented, analytical, and results-driven.
Excellent communication and problem-solving skills.
Why Join Us?
Opportunity to build and lead a national billing division from the ground up.
Make a meaningful impact in a fast-growing, mission-driven company.
Hourly Rate: $21-23/hour
Company pays 90% of Health Benefits
401K, Vision, and Dental available
Remote Position
Collaborative and supportive leadership team.
Auto-ApplyGettel Automotive Group Biller
Billing specialist job in Bradenton, FL
Job Details Toyota of Lakewood - Bradenton, FLDescription
At Gettel, our associates are our most valuable resource and growth is encouraged through diligence, teamwork & creativity. We offer a variety of training for everyone from Managers to Technicians; Gettel U and the Gettel Edge Program can provide you with the tools needed to take that next step. Above all, we have highest standard of honesty and integrity when conducting business. We are committed to an environment where the customer is always treated with respect and dignity... If you have an interest in automotive and a desire to develop a career in the industry, apply today!
What We Offer
Medical, Dental & Vision Insurance
Life Insurance
Health Savings & Flex Spending Accounts
Short & Long Term Disability
401K Plan
Holiday Pay
Personal & Sick Days
Paid Vacation
Paid Training
Growth Opportunities
Flexible Work Schedules
Discounts on products & services
Employee vehicle purchase plans
Saturday Lunches
Accident & Critical Care Plans
Qualifications
Major Essential Duties may include:
Process paperwork from the F&I Department
Prepare payoff checks for new vehicles and trade ins
Various billing duties including wholesale and dealer trades
Reconcile schedules
Research and answer all receivable and vendor inquiries
Perform basic and routine accounting functions.
Handle miscellaneous clerical tasks
Proactively communicate with your supervisor.
Communicate errors, unusual items, proposed solutions and process improvement opportunities.
Other duties, as assigned.
Job/Education Requirements:
Dealership accounting experience preferred.
Prior experience reconciling vendor accounts
Strong knowledge of math and accounting.
Detail oriented
Reynolds and Reynolds experience preferred.
Strong record of positive Customer Satisfaction results.
Billing Specialist I
Billing specialist job in Tampa, FL
Job Summary: The Billing Specialist is responsible for maintaining accurate records regarding customers' accounts.
Essential Functions:
Ensure billing is accurate details such as trip duration, distance, job duration.
Submit invoices to customer portals or through other methods as required by customers.
Ensure invoices are submitted in the correct format and within the required time frame according to customer specifications.
Monitor submission confirmations and track invoice status to ensure timely processing and payment.
Maintain and update customer account information, ensuring all records are up-to-date and accurate.
Respond to customer inquiries regarding invoices, payments, and account details.
Creates and reviews Taxi billing.
Taxi Billing - These jobs are one day jobs normally includes a crane and a rigger
Required Skills/Abilities:
Excellent verbal and written communication skills.
Excellent customer service skills.
Strong organizational skills.
Proficiency with Microsoft Office and Adobe.
Ability to work independently and as a part of a team.
Minimum Requirements:
0-2 years of experience in billing, accounting, or administrative work.
High School Diploma or equivalent (associate or bachelor's degree in accounting, finance, or business is a plus.
Basic knowledge of accounting principles preferred.
Valid Driver's License.
Must be legally authorized to work in the United States.
Must be able to read, write, speak, and understand English.
Physical Requirements:
Sims Crane & Equipment maintains a firm commitment to providing a safe and healthy work environment for its employees and quality services to its clients. Sims Crane & Equipment is a drug-free workplace. Must be able to pass a post-offer / pre-placement drug screen. Must also submit to a post-offer / pre-employment background report & motor vehicle check.
Work is performed in a standard office environment with prolonged periods of sitting at a desk and working on a computer. Subject to standing, walking, bending, reaching, stooping, and lifting objects up to 25 pounds at times.
Disclaimer: An employee must be able to perform the essential functions of the job, with or without reasonable accommodation.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Sims Crane & Equipment is proud to be an Equal Opportunity Employer/Drug and Alcohol-Free Workplace. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity and age.
Auto-ApplyMedical Billing Specialist-Tampa, Florida
Billing specialist job in Tampa, FL
Job Description
While our headquarters are based in Brookfield, WI this position is specifically for our Tampa, FL office. Applicants should reside in Tampa area.
Experienced Medical Billing Specialist - Hybrid "4/1 Schedule": Employees work in Tampa-based office four (4) days and remotely from home one (1) day.
Our growing medical billing office is seeking an Experienced Medical Billing Specialist to join our ever-expanding company. Work as part of a Team handling multiple areas of the revenue-cycle: Insurance follow-up, claim denials and appeals, guarantor follow-up, patient correspondence, customer service, payment posting, and general duties related to medical billing.
Candidates must be able to work in a Team environment, handle multiple tasks, comfortable working with numbers and prevalent problem-solving skills. Position requires someone who is reliable and self-motivated with strong customer service skills. Ultimately the goal of the Medical Billing Specialist is to streamline the billing process, reduce claim denials, and enhance the financial health of the organization.
We invite you to apply to the best anesthesia medical billing company!
Responsibilities
Verify patient information and insurance coverage to ensure accurate billing
Familiarity with Insurance portals
Understanding of EOBs/remittances to implement contractual adjustments, denials, reviews and balance billing
Follow up on unpaid and outstanding claims to ensure timely filing and payment
Identify and resolve unpaid or denied claims, correct and resubmit for review
Communicate with patients to address billing inquiries and resolve discrepancies
Customer service to assist patients, providers and insurance companies with billing inquiries/issues
implement and follow established processes
Maintain accurate documentation of billing activity on accounts
Comply with HIPAA regulations
Skills
Strong customer service with multi-line phone system experience
Detail oriented
Desire to learn
Comfortable with numbers
Problem-solving skills
Computer knowledge and agility
Ability to identify patterns that may lead to improved billing practices
Reliable time management
Clear verbal and written communication
Qualifications:
Minimum 2-years experience in Medical Billing or a related field necessary.
Knowledge of EMR and EHR systems
High school diploma or equivalent.
Associates degree or Certification in medical billing and coding (e.g., CPC, CCS, or similar).
Include shift schedule English (US)
8:30AM-5:00PM-EST
Dental Billing Specialist - Tampa
Billing specialist job in Tampa, FL
Job Description
HMC Dental Services Inc. is seeking a highly experienced and detail-oriented Dental Billing Specialist to join our elite, technology-driven dental practice. The ideal candidate will have a strong background in dental billing, ADA coding, insurance verification, and account reconciliation. This role is pivotal to maintaining an efficient revenue cycle and providing an outstanding patient experience through accurate and transparent billing practices.
Key ResponsibilitiesInsurance Claims Management
Prepare and submit dental claims accurately and timely (electronic and manual).
Verify dental insurance eligibility and benefits (PPO & Medicare Advantage).
Attach necessary documentation (e.g., x-rays, perio charting, narratives) through platforms,
Follow up on unpaid, denied, or underpaid claims to ensure maximum reimbursement.
File appeals and corrections for denied claims, including submission of supplemental information.
Submit pre-authorizations and predeterminations as required.
Patient Account Management
Post insurance and patient payments (EFT, checks, and patient payments).
Reconcile and manage accounts receivable, ensuring accurate and timely follow-up.
Generate and send monthly patient statements, particularly for balances following insurance denials.
Respond to billing inquiries and resolve patient account issues professionally and promptly.
Assign overdue balances to collections when necessary, following internal protocols.
Billing Accuracy & Compliance
Ensure accurate use of ADA procedure codes.
Identify and correct account errors, such as inaccurate demographics or insurance setup.
Stay current with dental insurance billing policies and coding updates.
Maintain compliance with federal, state, and payer-specific regulations.
Reporting & Collaboration
Prepare daily, weekly, and monthly billing and production reports.
Collaborate with front desk, dental assistants, and providers to ensure accurate documentation and timely billing.
Support credentialing and re-credentialing processes for providers as needed.
Assist Financial Coordinator with cost estimates and patient financial responsibility reviews.
Maintain the cleanliness and confidentiality of all billing-related documentation.
Qualifications & Skills
Minimum 2 years of dental billing experience required.
Strong knowledge of ADA coding, PPO and Medicare Advantage plans.
Experience with dental software Open Dental.
High attention to detail and ability to multitask in a fast-paced environment.
Excellent communication, organizational, and analytical skills.
Strong customer service orientation with a problem-solving mindset.
Must work on-site; remote work is not available for this position.
Bilingual in English and Spanish is a plus.
Knowledge of HIPAA and dental billing compliance standards
You will be eligible for a generous benefits package that includes:
• Paid time off (PTO)
• Paid Holidays
• 401K
• Voluntary Life Insurance
• Employee Assistance Program (EAP)
• Medical, Dental and Vision Benefits
Work Location:
4200 W Cypress St. Suite 690
Billing Specialist
Billing specialist job in Tampa, FL
Legal Billing Specialist Needed! Great benefits!
Must be able to work in a high-volume firm.
Responsibilities will include performing a variety of duties within the full billing cycle, including, but not limited to, proforma edits, requisite approvals for deferrals and write-offs, and time transfers.
Additional responsibilities will include preparing draft invoices and tracking client guidelines. You will also work with timekeepers and/or Legal Secretaries to ensure a cohesive, full-cycle and successful billing solution.
Electronic billing experience is a plus.
Full-time position
Job Type: Full-time
Billing Specialist | M-F | $16.50/hr | 8am-5pm
Billing specialist job in Tampa, FL
Billing Specialist:
Starting pay rate is $16.50 per hour
18 Years and Growing Strong - Come Join the Team!!
Job Type:Full-time - Billing Specialist - Finance Department (**On Site Position**)
Starting pay: $16.50 per hour
**MONDAY - FRIDAY SCHEDULE:
8:00am-5:00pm
On Site Position - Tampa (33634)
15 Days Paid Time Off per year
(no waiting period to start accruing) - earned on an accrual basis (4.62 hours per paycheck)
Casual Dress Code
- Yes, that includes Jeans!
Paid Holidays
- no waiting period
Diverse, Inclusive and Positive work environment
Growth and Development Opportunities
Fun Committee (quarterly workplace events)
Cloud Room - your place to relax and unwind during breaks
Comprehensive Benefits Package
Starting pay:
$16.50 per hour
The Billing Specialist position is in our Accounts Receivable Department and reports to the Finance Manager. Ideal candidates will have at least 2 years of client billing experience (payor invoicing). Candidate must be organized, self-motivated, able to multi-task, and be a strong team player. Candidate should possess good written and oral communication skills.
The responsibilities of the "Billing Specialist" are but are not limited to:
Assist with preparing payor invoices
Reviewing billing reports to ensure accurate billing before invoices are sent
Assist with accurately and timely billing payors via email or designated billing portals
Handle payor invoice revisions and resubmissions
Follow up with Management and other Departments as needed for billing corrections
Assist with payor billing questions and concerns
Report on Client Billing Trends
Knowledge, Skills and Abilities Required:
Experience with billing clients electronically or via alternate submission methods
Very proficient in Microsoft Office Applications (Excel, Word, Outlook)
Computer Savvy
Well organized, multi-tasked and attentive to details
Strong oral and written communication skills
Process-driven with attention to detail and accuracy
Strong written and verbal communication skills
Efficient and professional communication with business associates and co workers
Additional Benefits:
6 Paid Holidays (no waiting period)
Employee Assistance/Discount Program
Company subsidized Medical Plan
Vision / Dental Insurance
Welfare Benefits
401(k)
Life/Disability Insurance options
The above are not intended to be an all-inclusive list of the duties, responsibilities and requirements of the job described. Rather, they are intended only to describe the general nature of the job
.
__________________________________________________________________
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
#tampajobs #readytowork #fulltime #mondaythroughfriday #noweekends #growth #challenge #creative #motivated #flexible #friendly #work #service #satisfaction #hiringnow #Administative
EEO/DFWP
Auto-ApplyBilling Specialist
Billing specialist job in Lakeland, FL
Job Description
Billing Specialist for Boulevard Tire Center
From $20- $25 an hour - Full Time
Boulevard Tire Center is looking for a Billing Specialist for our Lakeland, FL location.
Boulevard Tire Center is a family owned company that has been in business for over 43 years.
The Billing Specialist will perform any combination of clerical and accounting/billing duties. The Billing Specialist will compile data, prepare company invoices and generate billing for our customers. The successful candidate should possess the following knowledge, skills and abilities:
Good Communication Skills
Accounting/billing background.
Accurate data entry and attention to detail is of utmost importance
Ability to prioritize in a fast-paced environment
Ability to understand and carry out oral and written instructions
Proficiency and working knowledge with Email and Microsoft Office applications
Ability to meet deadlines
Ability to check documents for accuracy
We offer excellent compensation and benefits. Boulevard Tire Center is a drug-free workplace. A pre-employment drug screen is required.
Job Type: Full Time
Expected Hours: 40 per week
Please apply through this website
Billing Specialist
Billing specialist job in Sarasota, FL
Sangoma is seeking a meticulous and dedicated Billing Specialist to join our dynamic finance team. With a commitment to providing top-quality communications solutions, we value precision in our billing operations. As a Billing Specialist, you will play a crucial role in managing billing processes, ensuring client satisfaction, and enhancing our financial efficiency. If you thrive in a fast-paced environment and have a strong eye for detail, we encourage you to apply!
Key Responsibilities:
Generate accurate and timely invoices for customers, adhering to company protocols.
Address and resolve customer inquiries related to billing and payment issues.
Perform monthly account reconciliations and adjustments to maintain accurate financial records.
Analyze customer billing trends and discrepancies to improve billing processes.
Collaborate with cross-functional teams to gather information required for accurate billing.
Assist in the development and enhancement of billing procedures and systems for improved effectiveness.
Requirements
Minimum of 2 years' experience in billing, accounts receivable, or related finance roles.
Proficient in financial software and billing systems, with experience in tools like Great Plains, Sage, Netsuite or similar platforms.
Strong analytical skills and attention to detail in managing complex financial data.
Excellent verbal and written communication skills to effectively liaise with clients and team members.
Capable of identifying problems and implementing effective solutions.
Proficient in Microsoft Office Suite, particularly Excel, for managing and analyzing data.
Must have Excel experience.
Benefits
What We Offer:
Extensive Benefit Options (Health, Vision, Dental, Long & Short term Disability) are effective after a short waiting period
Matching 401K program - 100% match on 4%.
Employee Stock Purchase Plan after one year of service.
Flexible Time Off & Company Holidays
Entrepreneurial work environment partnered with high-growth career opportunities
We value transparency and fairness in our compensation practices. For this role, we offer a salary range of $21 to $24 per hour, commensurate with experience, qualifications, and location.
Are you ready to make a direct impact on the company and be rewarded for your performance? Are you ready to take on a new challenge?
Must be authorized to work in the United States on a full-time basis for any employer. No agencies or third-party resumes, please.
Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.
Auto-ApplyOrthopaedic Medical Billing Specialist
Billing specialist job in Saint Petersburg, FL
Join Our Thriving Pediatric Orthopaedic Group!
Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance.
Role Overview: In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives.
What You'll Do:
Independently:
Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals.
Apply accurate adjustments based on insurance guidelines and contracts.
Manage secondary insurance and patient responsibility.
Collaboratively:
Work closely with the team to resolve outstanding insurance payments. This includes pulling insurance policies and setting up system edits and scrubs to prevent future denials.
Correspond with Insurance Verification and Front Desk to input missing data and correct registration errors.
Communicate effectively with patients and front desk regarding balances and collect payments.
Daily Responsibilities:
Claims Management: Analyze and resolve rejected claims, ensuring accurate coding and modifiers per COSSA and payer policies.
Appeals Process: Research, prepare, and submit appeals for denied or underpaid claims. Draft detailed justification letters supported by documentation and payer policies.
Collaboration: Coordinate with charge entry personnel and revenue cycle specialists to ensure accurate claim processing and resubmission. Work with providers to optimize appeals and validate adjustments.
Success Factors: Success in this role is defined by:
KPIs: Maintain an average Days in A/R of 35 or less, resolve credit balances monthly, manage claims effectively, review rejected claims within 5 days, and address preventable denials with appropriate edit scrubs.
Metrics: Ensure high accuracy in claims processing, timely resolution of claims, and prompt responses to inquiries.
Behaviors: Exhibit thoroughness, proactive communication, and teamwork. Assist colleagues and contribute to the team as a whole.
Timelines and Responsiveness: Adhere to deadlines and respond quickly to queries.
Quality: Maintain high standards of work with accurate, complete, and timely processing, aiming for zero adjustments due to past timely filing.
Feedback: Receive positive feedback from staff and patients for professionalism and problem-solving.
Work Environment: On-site (St. Petersburg or Tampa Office Location)
Team Dynamics: Join a high-functioning team that values collaboration, communication, flexibility, and a positive attitude. We seek individuals who contribute positively to team dynamics and foster a supportive work environment.
Cultural Fit and Team Development: We value:
Patient-Focused Care: Prioritizing patient needs and well-being.
Competence: Maintaining high standards and pursuing certification within 2 years.
Credibility: Acting with integrity and honesty.
Innovation: Embracing new ideas to enhance workflows.
Employee Recognition: Valuing individual contributions.
We are committed to the continuous development of our team members by offering opportunities for professional growth, ongoing learning, and skill enhancement through regular feedback, mentorship, and targeted training.
Training Period: New hires are required to complete a 90-day training period to familiarize themselves with our processes and integrate with the team.
Work Hours: Standard department hours are from 8:30 AM to 5:00 PM.
Salary and Benefits:
Salary: Starting at $21 per hour, negotiable based on experience and certifications.
Health Benefits: 100% employee premium coverage for Medical (UHC), Dental (Delta), and a $20,000 life insurance policy with no payroll deductions. Coverage starts the first day of the month after your 30-day anniversary.
Paid Time Off: 16 days of PTO and 5 days of SD/Serious Illness accrued in the first year.
Profit Sharing: Contributions begin after one year, with a historical rate of at least 14% annually. No payroll deductions for retirement savings, with vesting up to 20% annually over five years.
Qualifications:
Minimum of 2 years' experience as a medical billing specialist.
Proven track record in AR follow-up, EDI management, coding, medical terminology, and computer skills.
CPC or CPB certification (or willingness to obtain within 2 years).
Experience in insurance verification and pediatrics/orthopaedics is a plus. Familiarity with AthenaPractice, Encoda, or Phreesia is preferred. Knowledge of Florida Medicaid billing is a bonus.
Ready to grow your career with a dynamic team? Apply today!
View all jobs at this company
Billing Review Specialist
Billing specialist job in Largo, FL
This employee ensures that all assigned reviews and company projects are completed timely and accurately according to the scope of work. They will report any issues and/or concerns timely to the Supervisor of the Centralized Billing Review team and/or Manager of the Centralized Billing Review team.
JOB FUNCTIONS
Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts
Understands payor requirements according to their policies
Ensures completion of all forms and collects complete billing information
Pursues, maintains, and communicates medical coverage/guideline changes/updates
Verifies insurance benefits and eligibility for patients
Communicates with patients to resolve billing issues and ensures timely payment
Maintains accurate and up-to-date patient records in compliance with HIPAA regulations
Works assigned reports accurately and timely
Helps facilitate interoffice communication on payor updates and trends
Completes any adjustments/transfers of AR as required
Documents all activity in customer's computer account or applicable applications
Answers billing review specialist questions accordingly
Reports issues and/or concerns in a timely manner
Available to assist other billing review specialists on the team with questions or needs
Acts as liaison between staff and management
Medical Billing Specialist
Billing specialist job in Sarasota, FL
Established in 1998, Comprehensive MedPsych Systems (CMPS) offers a complete range of services in an innovative private practice setting. We are a nationally recognized group of experienced, compassionate, board-certified psychiatrists,neuropsychologists, psychologists, therapists and mental health professionals.
Job Description
As a medical billing specialist, you work with our clinicians to compile and submit insurance claims and work directly with our patients to help them understand their insurance coverage. The medical billing group is very important to the overall function of our practice. As we continue to grow, we seek experienced medical billers to join our team.
Audit charts for correct coding before claims are sent to the insurance carrier
Verify patient insurance eligibility and benefits
Review patient's accounts to determine that balances are paid
Post all insurance checks (including Direct Deposit payments) to correct patient account. Document notes if patient owes co-pays
Reconcile insurance payments with computer totals
Call insurance carriers if claims have not been paid in 60 days
Monitor insurance payments monthly
Qualifications
Customer service driven with a proactive communication style
Sense of urgency and timeliness in work; inspired by a fast-paced environment
Passionate about numbers and detail oriented
Intermediate to advanced computer skills with experience in EHR systems, Microsoft Office
Typing at least 40 WPM 2 years+ experience in billing
Additional Information
We are experts in treating a complex array of mental health issues and mental health disorders. From neuropsychologists evaluating a diverse range of cognitive and psychological symptoms, to therapists for child, adult, individual and family counseling to psychiatrists for medication, CMPS' comprehensive range of services ensures that its clients and patients always have access to the latest and most innovative services.
As of 2016, after 17 years of operation, CMPS has provided services to more than 80,000 patients and currently provides more than 7000 patient visits per month. CMPS private practice model of innovative multidisciplinary care has garnered national recognition by the American Psychological Association and is poised to expand. CMPS is a family owned and operated practice.
We offer medical insurance, HSA, 2% match IRA, and 3 weeks paid time off annually.
Billing Review Specialist
Billing specialist job in Largo, FL
This employee ensures that all assigned reviews and company projects are completed timely and accurately according to the scope of work. They will report any issues and/or concerns timely to the Supervisor of the Centralized Billing Review team and/or Manager of the Centralized Billing Review team.
JOB FUNCTIONS
Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts
Understands payor requirements according to their policies
Ensures completion of all forms and collects complete billing information
Pursues, maintains, and communicates medical coverage/guideline changes/updates
Verifies insurance benefits and eligibility for patients
Communicates with patients to resolve billing issues and ensures timely payment
Maintains accurate and up-to-date patient records in compliance with HIPAA regulations
Works assigned reports accurately and timely
Helps facilitate interoffice communication on payor updates and trends
Completes any adjustments/transfers of AR as required
Documents all activity in customer's computer account or applicable applications
Answers billing review specialist questions accordingly
Reports issues and/or concerns in a timely manner
Available to assist other billing review specialists on the team with questions or needs
Acts as liaison between staff and management
Billing Clerk
Billing specialist job in Lakeland, FL
We are a leading automotive dealership committed to providing an exceptional car-buying and service experience. We provide a positive, professional work environment, aggressive pay plans with career advancement opportunities, and the best training in the industry.
Job Summary
The Billing Clerk is responsible for accurately processing vehicle sales transactions and ensuring all required documentation is complete and compliant with company policies. This position plays a critical role in the accounting department by supporting daily operations and ensuring timely and accurate billing for new and used vehicle sales.
Responsibilities:
Accurately process and post all new and used vehicle sales, ensuring detailed breakdowns of each deal.
Review all deal information for accuracy, completeness, and adherence to company policies.
Reconcile accounting schedules and verify the accuracy of deal postings.
Record and apply customer payments, ensuring correct allocation to corresponding accounts.
Prepare and issue payoff checks for trade-in vehicles, coordinating with financial institutions as needed.
Provide general office and administrative support as needed.
Comply with all company policies, procedures, and safety standards.
Other duties as assigned.
Qualifications:
Minimum of 1 year of automotive dealership accounting or billing experience preferred.
Previous experience in a fast-paced office environment is a plus.
Proficient in computer applications and basic math.
Excellent communication and problem-solving skills.
A positive, team-oriented attitude with a willingness to learn and grow.
We offer best in class industry benefits:
Competitive pay
Medical, Dental and Vision Plans
Paid Holidays & PTO
Short and Long-Term Disability
Paid Life Insurance
401(k) Retirement Plan
Vehicle Purchase Discounts
Employee Discounts on Parts and Service Repairs
Aggressive Employee Referral Program with Bonus Opportunities
You must be at least 18 years of age to apply. We are an equal opportunity employer and a drug-free workplace.
Auto-ApplyCollections Specialist
Billing specialist job in Tampa, FL
Description:
We are seeking results-driven and professional Collectors to join our team. In this role, you will be responsible for managing a portfolio of delinquent accounts and working with consumers to resolve outstanding debts in a respectful and compliant manner. The ideal candidate is persuasive, empathetic, and able to maintain a firm yet courteous tone under pressure.
Zwicker & Associates is currently seeking Collections Specialists to join our team. Several openings are available. The role provides paid onsite training for three weeks, including weekly pay and monthly bonuses. The pay rate is $18.50-$20.00 per hour, depending on relevant experience, with the potential for uncapped bonuses.
The office is located at 14055 Riveredge Dr., Suite 400, Tampa, FL 33637, and the role is fully onsite for the first 90 days of employment with potential flexibility after. The schedule is Monday - Friday, no weekends. Business hours run from 8 AM to 7 PM.
Responsibilities of Collections Specialists
Contact customers via phone, email, or mail regarding past-due accounts
Negotiate Payment Plans: Work with debtors to create manageable repayment arrangements, such as lump-sum settlements or installment plans within company guidelines
Maintain Records: Track all communications, payment agreements, and progress in recovering debts.
Follow legal and company procedures regarding debt collection and data privacy
Meet daily, weekly, and monthly performance targets
Collaborate with internal departments to resolve disputes or escalate issues when necessary
Provide exceptional customer service while maintaining professionalism and compliance
Comply with policies and procedures of Zwicker & Associates, P.C.
Follow Regulations: Adhere to laws like the Fair Debt Collection Practices Act (FDCPA), which governs how and when collectors can contact debtors
Other duties as assigned
Requirements:
Above-average administrative and phone skills
Debt collectors must have strong negotiation skills
Excellent communication skills
Well-organized, results-driven
Effective decision-making skills
Strong listening, interpersonal, oral, and written communication skills
Basic math and computer skills. You will be required to complete a standard math and computer skills assessment. Failure to satisfactorily complete this assessment could result in termination of employment.
Be able to communicate in a common language with (or to) individuals or groups verbally and/or in writing.
Be able to operate a computer, phone, or equivalent device
Be able to complete a minimum of a 40-hour flexible workweek schedule
Be able to read and comprehend position-specific documents and correspondence
Physical Qualifications
Be able to lift five pounds or greater
Be able to sit 90% of the workday at times
Be able to bend at the waist and be mobile when needed
Be able to concentrate and use critical thinking
Please note that this job description is not intended to be a comprehensive listing of all activities, duties, or responsibilities required of the employee in this position. Duties, responsibilities, and activities are subject to change at any time, with or without notice.
Zwicker & Associates, P.C. is committed to providing equal employment opportunities to qualified individuals with disabilities. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. If you wish to seek an accommodation regarding the requirements of this position, please inform Human Resources Management. This is a full-time, full-benefit position. The benefit package includes medical, vision, and dental insurance, long-term disability insurance, life insurance, compensated time off, paid holidays, and 401 (K) with match: no phone calls, no agencies, EOE, drug-free workplace.
Please review our Applicant Privacy Notice: ******************************************************
Each posted position will be active for at least five (5) business days, during which time all qualified and eligible employees can apply.
#ZR
Collections Specialist
Billing specialist job in Lakeland, FL
Seeking a collections specialist to manage overdue accounts, negotiate payment plans, and ensure timely debt recovery while maintaining positive customer relationships.
Responsibilities:
Provide excellent customer service while meeting collection goals
Manage a daily call queue.
Takes payments and assists management with requests for due date/deferments.
Light skip tracing on accounts
Identifies and recommends accounts for repossession.
Performs other essential functions as assigned.
Minimum qualifications:
Strong negotiation skills with proven ability to effectively handle difficult customers.
Ability to work in a fast-paced environment.
Able to adapt to change.
Problem Solving Drive for Results
Basic computer skills with the ability to type 30 wpm
Flexibility to work scheduled hours between 8:00 am - 6:00 pm Monday- Friday
Microsoft Excel: 1 year (Preferred)
Customer service: 1 year (Preferred)
Reliable transportation to Lakeland Fl 33805 or plan to relocate before starting (Required)
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Mid Finance Florida is an equal opportunity employer and a drug free work environment.
Auto-ApplyBilling Clerk
Billing specialist job in Lakeland, FL
We are a leading automotive dealership committed to providing an exceptional car-buying and service experience. We provide a positive, professional work environment, aggressive pay plans with career advancement opportunities, and the best training in the industry.
Job Summary
The Billing Clerk is responsible for accurately processing vehicle sales transactions and ensuring all required documentation is complete and compliant with company policies. This position plays a critical role in the accounting department by supporting daily operations and ensuring timely and accurate billing for new and used vehicle sales.
Responsibilities:
* Accurately process and post all new and used vehicle sales, ensuring detailed breakdowns of each deal.
* Review all deal information for accuracy, completeness, and adherence to company policies.
* Reconcile accounting schedules and verify the accuracy of deal postings.
* Record and apply customer payments, ensuring correct allocation to corresponding accounts.
* Prepare and issue payoff checks for trade-in vehicles, coordinating with financial institutions as needed.
* Provide general office and administrative support as needed.
* Comply with all company policies, procedures, and safety standards.
* Other duties as assigned.
Qualifications:
* Minimum of 1 year of automotive dealership accounting or billing experience preferred.
* Previous experience in a fast-paced office environment is a plus.
* Proficient in computer applications and basic math.
* Excellent communication and problem-solving skills.
* A positive, team-oriented attitude with a willingness to learn and grow.
We offer best in class industry benefits:
* Competitive pay
* Medical, Dental and Vision Plans
* Paid Holidays & PTO
* Short and Long-Term Disability
* Paid Life Insurance
* 401(k) Retirement Plan
* Vehicle Purchase Discounts
* Employee Discounts on Parts and Service Repairs
* Aggressive Employee Referral Program with Bonus Opportunities
You must be at least 18 years of age to apply. We are an equal opportunity employer and a drug-free workplace.
Billing Clerk We are a leading automotive dealership committed to providing an exceptional car-buying and service experience. We provide a positive, professiona...Lakeland Chrysler Dodge Jeep, Lakeland Chrysler Dodge Jeep jobs, careers at Lakeland Chrysler Dodge Jeep, Auto jobs, careers in Auto, Lakeland jobs, Florida jobs, General jobs, Billing Clerk