Medical Billing Specialist

Tampa, FL
Full Time
Experienced
Job Title: Medical Billing Specialist
Employment Type: Full-Time


Position Overview:
We are seeking a highly experienced and motivated Medical Biller to participate in all aspects of the billing cycle for a growing healthcare management company. This is a hands-on leadership role ideal for someone with deep billing expertise in primary care and cardiology, a strong grasp of revenue cycle management, and the ability to implement operational improvements. The ideal candidate will thrive in a dynamic environment, working independently with our Billing Team.

This is a growth opportunity for a seasoned professional looking to establish that will support multiple practices and providers nationwide.

Key Responsibilities:
  • Manage and actively participate in the end-to-end billing cycle: charge entry, claim submission, payment posting, denial management, and AR follow-up.
  • Oversee billing operations for primary care and cardiology specialties, ensuring clean claims and timely reimbursements.
  • Set and monitor performance metrics including:
    • Days in Accounts Receivable (AR)
    • First-pass resolution rate (FPRR)
    • Denial rate and resolution time
    • Clean claim rate
    • Net collection rate
  • Develop and implement efficient billing workflows and denial prevention strategies.
  • Evaluate billing processes and make recommendations for improvements or technology enhancements.
  • Collaborate with providers, office managers, and executive leadership to resolve issues and streamline communication.
  • Ensure compliance with payer policies, billing regulations, and HIPAA requirements.
  • Monitor payer trends, reimbursement issues, and coding updates relevant to internal medicine and cardiology.

Requirements:
  • Minimum 5+ years of medical billing experience, with a strong focus on primary care and cardiology.
  • Experience productivity and KPIs.
  • Certified Professional Biller (CPB) or equivalent certification strongly preferred.
  • Proficiency with EMR systems (eClinicalWorks, Athena, AdvancedMD, etc.).
  • Strong understanding of ICD-10, CPT, and HCPCS coding, modifiers, and payer rules.
  • Proven ability to work independently and effectively lead a remote team.
  • Detail-oriented, analytical, and results-driven.
  • Excellent communication and problem-solving skills.

Why Join Us?
  • Opportunity to build and lead a national billing division from the ground up.
  • Make a meaningful impact in a fast-growing, mission-driven company.
  • Hourly Rate: $21-23/hour
  • Company pays 90% of Health Benefits
  • 401K, Vision, and Dental available
  • Remote Position
  • Collaborative and supportive leadership team.

 
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