Billing Specialist
FLORIDA DOCTORS GROUP CORP
- Coral Gables, FL
- $18.00-25.00 per hour
- Permanent
- Full-time
- Bonus based on performance
- Competitive salary
- Dental insurance
- Health insurance
- Paid time off
- Training & development
- Vision insurance
- Prepare and submit accurate claims and encounters to HMO plans in a timely manner.
- Review encounters for accuracy and completeness before submission.
- Verify patient and provider information, ensuring alignment with health plan requirements.
- Resolve claim rejections or denials by researching and correcting errors promptly.
- Maintain detailed records of submitted claims, payments, and outstanding balances.
- Communicate with HMO plans regarding billing inquiries, discrepancies, or follow-ups.
- Collaborate with internal teams to ensure documentation and coding compliance.
- Monitor billing cycles to meet deadlines and avoid delays in payment.
- Provide regular reports on encounter submissions, claim status, and collection progress.
- Stay up to date on billing regulations, HMO plan policies, and industry best practices.
- High school diploma or equivalent (Associate’s or Bachelor’s degree preferred).
- Minimum 2 years of medical billing experience, preferably with HMO plans.
- Strong knowledge of medical coding, claims submission, and encounter processes.
- Proficient in medical billing software and MS Office (Excel, Word, Outlook).
- Excellent attention to detail and accuracy.
- Strong organizational and time management skills.
- Ability to work independently and as part of a team.
- Effective communication skills, both written and verbal.