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Medical Billing Specialist

Vensure Employer Solutions Agency

Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO).

Lee County, Florida Full-time Posted 1mo ago hcmhr tech

Position Overview:

  • A growing multi-specialty medical practice specializing in podiatry and internal medicine is seeking an experienced and detail-oriented Medical Billing Specialist to support revenue cycle operations.
  • Ideal candidate has strong knowledge of medical billing processes, insurance guidelines, and ability to ensure accurate, timely reimbursement.
  • Experience in podiatry and internal medicine required.
  • Compensation commensurate with experience.
  • Work Schedule:
  • Monday – Friday, 8:00 AM – 5:00 PM
  • 1-hour lunch break
  • Key Responsibilities:
  • Submit accurate and timely insurance claims (electronic and paper).
  • Review and resolve claim denials and rejections.
  • Prepare and submit appeals with proper documentation.
  • Perform claim scrubbing to ensure accuracy before submission.
  • Post insurance and patient payments accurately and reconcile accounts.
  • Verify patient insurance eligibility and benefits.
  • Obtain and manage authorizations and pre-certifications as needed.
  • Follow up on outstanding claims and aging reports to ensure timely reimbursement.
  • Communicate with insurance companies about claim status and discrepancies.
  • Maintain compliance with payer guidelines and regulatory requirements.
  • Collaborate with providers and office staff to resolve billing discrepancies.
  • Assist in identifying denial trends and implementing corrective actions.
  • Qualifications:
  • Required: Medical billing experience in podiatry and internal medicine.
  • Strong understanding of CPT, ICD-10, and HCPCS coding preferred.
  • Knowledge of insurance processes including Medicare, Medicaid, and commercial payers.
  • Experience with EMR/EHR and billing systems.
  • eClinicalWorks (eCW) experience is a plus.
  • Strong attention to detail and organizational skills.
  • Excellent communication and problem-solving abilities.
  • Ability to work independently and manage multiple tasks efficiently.
  • Compensation & Benefits:
  • Competitive salary based on experience.
  • Paid Time Off (PTO).
  • Comprehensive benefits package (may include health, dental, and vision insurance).
  • Opportunities for professional growth and advancement.

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