Reimbursement Specialist

Reimbursement SpecialistSarasota, FLM-F Day Time HoursOur client is seeking experienced and motivated Medical Billing & Collections Specialists to join a busy healthcare revenue cycle team. These positions are ideal for professionals who thrive in a fast-paced environment and have a strong understanding of healthcare billing processes, claims management, collections, and reimbursement workflows. The ideal candidates will be detail-oriented problem solvers with strong critical thinking abilities and a proven background working with insurance claims, CPT coding, accounts receivable, and accounts payable functions.This is an excellent opportunity for individuals who enjoy working independently while contributing to a collaborative and high-performing team focused on accurate billing, timely collections, and revenue optimization.Schedule

• Full-time
• Monday through Friday
• 40 hours per week

Responsibilities

• Process and manage medical claims billing for insurance and third-party payers.
• Review and resolve claim denials, rejections, and payment discrepancies.
• Perform insurance and patient collections follow-up to ensure timely reimbursement.
• Work accounts receivable aging reports and maintain accurate account documentation.
• Assist with accounts payable functions related to billing and reimbursement processes.
• Apply knowledge of CPT codes, billing guidelines, and payer requirements to ensure claim accuracy.
• Research and resolve complex billing issues using critical thinking and problem-solving skills.
• Maintain detailed records of account activity, collection efforts, and payment status updates.
• Collaborate with internal departments and insurance representatives to resolve outstanding balances.
• Ensure compliance with healthcare billing regulations and company policies.

Qualifications

• Strong experience in medical billing and healthcare collections.
• Working knowledge of claims processing, CPT coding, accounts receivable, and accounts payable.
• Ability to manage multiple priorities in a fast-paced work environment.
• Strong critical thinking, analytical, and problem-solving skills.
• Excellent communication and customer service abilities.
• Proficiency with Microsoft Office Suite and medical billing software systems.
• Strong organizational skills and attention to detail.
• Ability to work independently and within a team setting.

Preferred Qualifications

• Experience with insurance follow-up and denial management.
• Previous experience in healthcare revenue cycle management.
• Familiarity with Medicaid, Managed Care, commercial insurance, and private payers.
• Experience with electronic medical records and billing platforms.