Senior Medical Bill Operations Associate

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees.

Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast.

Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

It's one thing to know workers' comp. It's another to know people. But knowing both? That creates an altogether different experience.

So, if you're ready for an altogether different workplace experience, get to know the people who know workers' comp. Apply today.

Essential Job Functions and Responsibilities

• Reviews and processes medical bills for workers' compensation claims, ensuring accuracy and compliance with company policies and regulatory requirements.
• Verifies the validity of medical bills by cross-referencing with claim details and medical records.
• Reconciles discrepancies in billing and resolves 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, addressing inquiries and resolving billing disputes in a timely and professional manner.
• Maintains accurate and up-to-date records of all billing activities and communications.
• Collaborates with claims representatives, medical providers, and other internal departments to ensure seamless processing of medical bills.
• Performs other duties as assigned.
• The person hired for this position will work out of the Lakeland, FL office which offers a hybrid work environment of 3 days in the office and 2 days work from home.

#LI-Hybrid

Job Requirements

Education : High School Diploma or equivalent.

Experience : Generally, a minimum of 6 years of experience in medical billing. Completion of or continuing progress toward a medical billing and coding designation preferred, such as Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P).

Scope of Job / 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. May provide guidance, training, and assistance to lower-level positions.

Company :

SCI Summit Consulting, LLC

Benefits :

Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.

We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave / adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.

Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.