Medical Billing & Collections Specialist-Tier 1 (Medicaid)

Medical Billing & Collections Specialist-Tier 1 (Medicaid)

Broward Childrens Center - Pompano Beach, FL 33060

Description

The Medical Billing & Collections Specialist Tier II performs advanced billing, reimbursement, and A/R accounting functions to support the financial operations of a nonprofit 501(c)(3) healthcare organization. This position handles billing for diverse service linesincluding medical, DME (Durable Medical Equipment), grant-funded programs, and skilled nursing facilities (SNFs)and ensures compliance with payer, grant, and nonprofit accounting standards. The role bridges billing and finance by assisting with reconciliation, reporting, and the accuracy of accounts receivable, supporting the organization's mission of community service and financial stewardship.

Qualifications

Broward Children's Center (BCC) is dedicated to transforming lives by providing specialized care to children and young adults who are medically fragile and developmentally disabled. Our comprehensive services range from 24/7 skilled nursing at our pediatric care facility to developmental education programs, therapeutic support, and family-centered services like respite care, social services, and in-home health support.

With unique programs including ABA therapy, developmental preschools, K-12, Home Health and PPEC outpatient care, BCC ensures each individual receives tailored support to thrive. Our team also takes part in community events, such as our annual 5K and golf tournament, creating a vibrant, mission-driven workplace.

If you're passionate about impactful work and a supportive team environment, BCC may be the perfect place for your career.

Essential Functions

• Assist with preparing and submitting medical claims to insurance carriers, Medicaid, and Medicare under supervision.
• Verify patient information and insurance coverage prior to billing.
• Post payments, adjustments, and basic denials accurately to patient accounts.
• Generate and review simple billing reports to identify outstanding claims or balances.
• Support patient account inquiries and help facilitate payment plans in accordance with financial assistance policies.
• Maintain patient confidentiality and ensure compliance with HIPAA and nonprofit financial standards.
• Assist senior billing staff and collaborate with clinical and administrative teams to ensure billing accuracy.
• Participate in ongoing training to develop billing, collections, and compliance knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, reach with hands and arms, stoop, kneel, crouch, or crawl. The employee must be able to talk and hear clearly.

The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Employee Childcare

BCC offers valuable childcare programs to support our employees and their families:

• Step Up Scholarship for Students with Unique Abilities (Pre-K up to 8th grade). We offer Private Therapy Services for those that qualify. Breakfast, lunch, and snacks are included.
• Early Learning Coalition of Broward County School Readiness Program (for children ages 1 up to 3 years old). Early Steps Therapy Services for those that qualify. Breakfast, lunch, and snacks are included.
• Employee Daycare (for ages 1 year through 5 years old), inclusive of breakfast, lunch, and snacks.
• Broward County Non-School Days: We offer our employees childcare when Broward County has non-school days (winter break, spring break, thanksgiving break), with the exception of major holidays (Thanksgiving, Christmas day, etc.).

Join BCC and enjoy a supportive, robust benefits program designed to help you thrive in both your personal and professional life.

BCC/CCC is an equal opportunity employer committed to a diverse and inclusive workplace. We do not discriminate based on race, color, religion, sex, sexual orientation, national origin, age, disability, or any other protected characteristic.