Top 1 Senior medical coder Jobs in Lakeland, Fl

Sr. Refund Account Specialist - Denial & Appeals Mgmt
Lakeland Regional Health —Lakeland, FL
- $18.82 - $23.53 an hour
- Monday to Friday
- Microsoft Excel
- Microsoft Outlook
- HIPAA
4d

Discover related jobs

Based on your search for senior medical coder jobs.

IPA Consultative Coder - North Florida (Tampa/Brandon)
Centerwell —Brandon, FL
This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to…
$59,300 - $80,900 a year

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Senior Revenue Recovery Specialist
Ensemble RCM LLC —Columbus, OH
Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
$22.45 - $24.70 an hour
14d

I want to receive the latest job alert for senior medical coder in lakeland, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior medical coder jobs near lakeland, fl

Senior Account Specialist jobs in Orlando, FL

Account Executive Remote jobs in Texas

Child Life Specialist jobs in Remote

Senior Account Specialist jobs in Burbank, CA

Senior Account Specialist jobs in San Francisco, CA

Senior Account Specialist jobs in Tennessee

Sr. Refund Account Specialist - Denial & Appeals Mgmt

Lakeland Regional Health -
Lakeland, FL

Apply Now

Job Details

$18.82 - $23.53 an hour
4 days ago

Qualifications

Accounting systems
Microsoft Excel
Microsoft Outlook
Word embeddings
High school diploma or GED
Cerner
Health insurance knowledge
Cross-functional collaboration
Cross-functional communication

Full Job Description

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only designated Level 1 Trauma Center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Active - Benefit Eligible and Accrues Time Off

Work Hours per Biweekly Pay Period: 80.00
Shift : Monday - Friday 8:00 am to 4:30 pm
Location : 1324 Lakeland Hills Blvd Lakeland, FL
Pay Rate : Min $18.82 Mid $23.53

Position Summary

The Senior Refund Account Specialist is responsible for managing and processing patient and insurance refund requests in accordance with contract terms, payer guidelines, and internal policies. This role ensures timely resolution of credit balances, disputes invalid refund requests, maintains audit compliance, and collaborates across departments to resolve payment discrepancies.

Position Responsibilities

Standard Work: Sr. Refund Account Specialist

Refund Review & Compliance Review daily refund requests for completeness, accuracy, and alignment with contract terms across government, commercial, and private payers. Analyze EOBs, correspondence, and contract/fee schedules to validate overpayments.
Overpayment Disputes Respond to insurance companies or third-party vendors within set timeframes to prevent recoupments or offsets. Submit and follow up on refund disputes through various channels (mail, email, web portals).
Coordination with Departments Collaborate with departments including Billing, HIMS, CDM, Cash Posting, and Managed Care to resolve credit and overpayment issues. Escalate and report recurring billing or payer issues to leadership.
Insurance Payer Communication Contact insurance payers and third-party vendors to verify, dispute, or follow up on refunds and adjustments. Monitor payer trends and credit activity, advising management of irregularities.
Refund Processing Process patient and insurance refund requests accurately in the Patient Accounting system. Prepare documentation for management approval and coordinate with Accounts Payable for check processing.
Credit Balance Management Investigate credit balances in the Patient Accounting system to determine root causes. Complete necessary adjustments, transfer payments appropriately, and resolve voided balances.
Identify and Resolve EOB Payment Variances Investigate, review and resolve EOB Variances for both overpayments and underpayments Escalate and report payer trends and issues to leadership
Reporting & Reconciliation Maintain and reconcile monthly reports including A/R follow-up, Medicare quarterly credit balance reports, and Medicaid audits. Perform reconciliation for receipt summaries, unclaimed property, and unidentified cash.
Patient and Vendor Communication Handle inbound inquiries from patients, payers, and vendors via phone, email, and written correspondence.
Compliance & Documentation Maintain accurate and complete documentation for audits and internal reviews. Ensure compliance with HIPAA and internal confidentiality standards.
Other Duties Perform other duties as assigned in support of departmental goals.

Competencies & Skills

Essential:

Proficiency in Microsoft Word, Excel, Outlook.
Strong communication skills (written and verbal).
Detail-oriented with the ability to prioritize and multi-task.
Problem-solving and analytical skills.
Ability to work effectively with cross-functional teams, patients, and external vendors.

Qualifications & Experience

Essential:

High School or Equivalent

Other information:

Experience Essential:

3–5 years in accounting, medical billing, or patient accounts.

Strong understanding of payer reimbursement methodologies and terminology (e.g., contractual adjustment, coinsurance, denials).

Familiarity with Cerner Patient Accounting or similar systems.

Apply Now

Refine Your Search

senior medical coder jobs in lakeland, fl

Sr. Refund Account Specialist - Denial & Appeals Mgmt

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for senior medical coder in lakeland, fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected