Position Summary
We are seeking a detail-oriented Revenue Cycle Billing Specialist to support our revenue cycle operations. This role is responsible for claim submission, denial resolution, accounts receivable follow-up, and patient billing support to ensure accurate and timely reimbursement.
The ideal candidate will have strong experience in medical billing, payer follow-up, and revenue cycle workflows, and will play a key role in optimizing collections and reducing revenue leakage across the organization.
The Retina Group of Florida prides itself on excellent patient care and creating career growth for their employees. Come join our growing team!
**This is an on-site position. Please do not apply if you are seeking remote work. **
Key Responsibilities
Claims & Billing
- Prepare and submit accurate insurance claims (electronic/paper) to commercial and government payers
- Review charges, coding, and documentation for accuracy prior to submission
- Ensure compliance with payer requirements and billing guidelines
Denials & Follow-Up
- Analyze denied or rejected claims and determine root causes
- Submit corrected claims and appeal denials with supporting documentation
- Perform timely follow-up on outstanding insurance claims to ensure payment
Accounts Receivable Management
- Work AR aging reports and assigned queues to resolve outstanding balances
- Identify underpayments and escalate discrepancies
- Monitor accounts to reduce aging and improve cash flow
Payment Posting & Reconciliation
- Resolve credit balances and assist with refunds
Patient Billing & Customer Support
- Respond to patient billing inquiries professionally and promptly
- Explain coverage, balances, and payment options
- Assist with payment plans and collections efforts
Insurance Verification & Compliance
- Verify patient eligibility, benefits, and authorizations
- Ensure compliance with HIPAA and payer regulations
- Maintain accurate patient and billing records
Qualifications
Education & Experience
- High school diploma required; Associate’s or Bachelor’s degree preferred
- Minimum 2+ years of medical billing, AR, or revenue cycle experience
- Experience with EHR/Practice Management systems preferred
Technical Skills
- Knowledge of CPT, ICD-10, and HCPCS coding
- Familiarity with Medicare, Medicaid, and commercial insurance guidelines
- Strong understanding of end-to-end revenue cycle processes
Core Competencies
- Strong attention to detail and analytical skills
- Ability to manage high-volume workloads and meet deadlines
- Excellent communication and problem-solving abilities
- Team-oriented with a focus on accountability and results
Preferred Qualifications
- Certified Professional Biller (CPB) or related certification
- Experience with denial management, appeals, and high-balance AR
- Knowledge of payer portals and insurance follow-up workflows
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Retirement plan
- Vision insurance
Work Location: In person
