Medical Billing Specialist - Healthcare Claims

Job Description

We are conducting a confidential search for a skilled Medical Billing Specialist to join a healthcare team in Fort Myers. This role is responsible for accurate and timely billing of provider services using CPT, HCPCS, and ICD-10 codes. The ideal candidate will have strong knowledge of Medicare, Medicaid, and commercial insurance procedures in a managed care environment.

Key Responsibilities :

• Prepare and submit clean claims to Medicare, Medicaid, commercial insurance carriers, and self-pay patients.
• Review patient and insurance information, diagnosis codes, and treatment details for accuracy.
• Enter charges quickly and accurately to support efficient payment processing.
• Ensure timely filing of claims via clearinghouse or directly to payers.
• Review and correct claim edits within 24 hours of notification.
• Handle private pay collections after insurance denials or cancellations.
• Answer patient billing questions regarding copays, deductibles, and balances.
• Perform self-pay billing and generate patient statements.
• Maintain compliance with HIPAA and insurance guidelines.
• Support revenue cycle management through accurate documentation and problem-solving.

Qualifications :

Compensation & Benefits :