16 medical billing specialist jobs found in Clearwater, 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...

Job Description 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...

A growing medical billing office is seeking a detail-oriented Medical Billing Specialist fluent in English and Spanish for their Tampa, FL location. The ideal candidate will have a minimum of 2 years' experience, strong organizational skills, and the ability to resolve billing inquiries. This hybrid position allows employees to work both from the Tampa office and remotely. Competitive pay between $20.00/hr - $24.00/hr is offered. #J-18808-Ljbffr

Please only submit an application if you live in one of these states: FL, VA, TX, NY, MO About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare systemmore time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care wed want for our own parents. Founded by two brothers inspired by their fathers pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure theyre never alone in a complex system. Our business model is designed around patient outcomes, not volumeso we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, were growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking...

Medical Billing Specialist Tampa, FL (Hybrid) Pay range: $20.00/hr $24.00/hr Location: Tampa, FL office (remote 1 day per week). 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, be comfortable working with numbers, and possess strong customer?service skills. The goal is to streamline the billing process, reduce claim denials, and enhance the financial health of the organization. Responsibilities Verify patient information and insurance coverage to ensure accurate billing. Familiarity with insurance portals. Understand EOBs/remittances to implement contractual adjustments,...

Description: About Us: PedIM Healthcare is a leading provider of high-quality healthcare services in Lecanto, Florida. We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team. If you're passionate about healthcare finance, have a strong understanding of medical billing practices, and thrive in a fast-paced environment, we want to hear from you. Benefits: Comprehensive healthcare, dental, and vision insurance. 401K with 4% match after 1 year of service. Paid time off. Opportunities for ongoing professional development and training. Supportive and collaborative work environment. Responsibilities: Review and process medical claims for accuracy and completeness. Verify patient billing data and resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or denied claims and handle appeals as needed. Work with patients to address billing inquiries and...

Job Description Job Description P.M. Medical Billing, the original and largest National Ophthalmology Billing Company is once again hiring! We are a full-service medical billing firm specializing in Ophthalmology, providing clients all over the country with the most expert knowledge and service. We welcome you to join the original and fastest-growing national Ophthalmology specific medical Billing Company. Our rapid and continuous growth with multiple clients in every state has necessitated our need to hire enthusiastic, knowledgeable and dependable billers and assistants to help us bring our doctors excellent service. Our company has been in business over twenty years and longer than any other Ophthalmology Billing Company. We need to hire full time medical billers who are experienced preferably in Ophthalmology, however we will consider other specialties. Candidate must have a strong work ethic, able to multitask and is professional on the phone with insurance companies,...

divh2Coding Specialist/h2pResponsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment./ppstrongMinimum Qualifications:/strong/pp1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience./pp2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

HIM Coder 2, Inpatient - Remote Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will: Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care...

The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Required: High School Diploma or GED Certification Certified Professional Coder - CPC Or Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of two (2) years in practical coding experience is required. Coders are held to high standard; best practices are to achieve a greater than 95% accuracy rate during coding assessments.

Seeking a highly accurate and detail-oriented Certified Medical Coder (CPC) with experience coding DME, specifically within the Workers' Compensation sector to work in-office at our Tampa headquarters. This role involves strong knowledge of state-specific Workers' Compensation guidelines, experience working with payer-specific rules, and prior experience coding services tied to injury-related care. The coder will be responsible for assigning accurate HCPCS codes to ensure compliant billing and optimal reimbursement. Pay range starts at $50,000+ dependent on experience. Any offer made will be based on the candidate's experience and skill level. DUTIES AND RESPONSIBILITIES: Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complying with medical coding guidelines and policies to apply appropriate state-specific Worker's Compensation rules (including fee schedules and doc requirements) Receiving and...

Current Coding certificate AAPC (CPC, CEMC, COC, CIC) or AHIMA (CCS, CCS-P) 3+ Years working in the health insurance field. Evaluation and Management (E&M) & GMC Coding - MUST have 3+years of experience Review adjudicated medical claims that have been denied and resubmitted by providers for reconsideration. Review medical documentation in support of Evaluation and Management in compliance with current CPT, HCPCS, ICD-10, and CMS guidelines, as well as company-specific reimbursement policies, competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. Analyze claim documentation, coding accuracy, and medical record details to determine if denial reasons are valid or if payment reconsideration is warranted. Conduct detailed coding audits to validate...

The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Qualifications Required: High School Diploma or GED Certification Certified Professional Coder - CPC Or Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of two (2) years' in practical coding experience is required. Coders are held to high standard, best practices are to achieve a greater than 95% accuracy rate during coding assessments. Technical Knowledge, Skills, and Abilities • Knowledge of CPT, ICD-10 and...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Reviews appropriate inpatient coding work queues daily to address coding...

Job Description Job Description Please only submit an application if you live in one of these states: FL, VA, TX, NY, NJ, MO About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system—more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume—so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven,...