Medical Billing & Denial Management Specialist

Job Description

Job Description

Job Title: Medical Billing & Denial Management Specialist
Location: West Palm Beach, FL (On-Site)

Working Schedule: M-F 8:00am-4:30pm (Training 9am-5pm)
Pay Rate: $20.00 – $25.00/hour (based on experience)

Position Overview

We are seeking an experienced Medical Insurance Follow-Up & Denials Specialist to join our Revenue Cycle team. This position is responsible for high-volume insurance follow-up, EOB review, denial management, appeals, and claim resolution for multiple physician practices and hospitals. Candidates must have recent experience working medical accounts receivable, insurance collections, and payer portals in a fast-paced billing environment.

Required Experience

• 2–3+ years of Medical Insurance Accounts Receivable (AR) experience
• Experience reviewing Explanation of Benefits (EOBs)
• Strong Denial Management experience
• Insurance Follow-Up on commercial, Medicare, and Medicaid claims
• Experience handling 40–50+ claims per day
• Appeals writing and claim reconsiderations
• Experience with Change Healthcare/Payerpath or similar clearinghouses

Key Responsibilities

• Manage and collect on a high volume of medical claims (40–50 daily)

• Follow up with insurance carriers regarding outstanding claims

• Utilize clearinghouse tools such as Payerpath/Change Healthcare

• Research and resolve claim issues using insurance portals and online resources

• Prepare and submit appeals letters to ensure claim approval

• Handle inbound patient calls, including resolving billing questions and concerns

• Maintain accurate documentation and protect sensitive patient information (HIPAA compliance)

Qualifications

• 2–3+ years of medical collections experience (required)

• Experience working with high-volume claims (billing company experience preferred)

• Proficiency with:

  • Practice Management software

  • Microsoft Office (Word, Excel)

  • Google Workspace (Gmail, Google Drive)

• Knowledge of:

  • ICD-10 coding

  • 10-key data entry with speed and accuracy

• Experience with clearinghouses (Payerpath/Change Healthcare preferred; others accepted)

• Strong internet research skills and familiarity with insurance portals

• Excellent written communication skills (especially for appeals)

• Strong customer service skills with ability to handle sensitive or difficult conversations

Work Environment & Schedule

• Business casual office environment

• Typical hours: 8:00 AM – 4:30 PM (flexibility may be required)

• Minimal overtime (only during special projects)

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