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 :

High School Diploma or GED (Associate’s Degree preferred).

2+ years of medical billing experience.

MediClear Certification (or equivalent) required.

Knowledge of Medicaid, Medicare, and commercial insurance billing rules.

Proficiency with CPT, HCPCS, ICD-10 coding, and modifier usage.

Familiarity with EHR systems (Intergy or similar preferred).

Strong MS Office skills, especially Excel.

Attention to detail, organizational skills, and the ability to multi-task in a fast-paced environment.

Compensation & Benefits :

Competitive compensation package.

Generous paid time off (PTO)

Full health, dental, and vision benefits.

Company-paid pension plan.

Requirements

Assistant