Medical Coding HCA

Medical A/R Specialist

South Florida Orthopaedics & Sports Medicine is seeking an experienced Medical A/R Specialist to join our growing Revenue Cycle team. If you enjoy solving complex claim issues, appealing denials, and recovering revenue that others may overlook, this is an opportunity to make a meaningful impact while working with a supportive and experienced team.

Since 1995, South Florida Orthopaedics & Sports Medicine has been a trusted provider of orthopaedic and musculoskeletal care on the Treasure Coast. Our multi-specialty practice includes orthopaedics, sports medicine, joint replacement, pain management, podiatry, physical therapy, and occupational therapy services. As our practice continues to grow, we are looking for skilled revenue cycle professionals who are passionate about maximizing reimbursement and improving financial outcomes.

As a Medical A/R Specialist, you will take ownership of assigned accounts and work independently to resolve outstanding balances and payer denials. Investigating and resolving insurance claim denials and underpayments

Preparing and submitting appeals to Medicare, commercial insurance carriers, workers' compensation carriers, and auto insurance payers

Researching claim status through payer portals and other available resources

Identifying reimbursement trends and escalating systemic issues when appropriate

Resubmitting corrected claims and supporting documentation

Collaborating with coding, billing, and management teams to resolve complex reimbursement issues

Identifying accounts that may be uncollectible and making recommendations for resolution

Maintaining productivity and quality standards while managing assigned work queues

Medical, dental, and vision insurance

• 401(k) retirement plan
• Paid time off and paid holidays
• Regular industry webinars and training programs
• Long-term career growth opportunities within a stable, growing healthcare organization

This is not an entry-level billing position. We are seeking an experienced medical accounts receivable professional who can independently research, analyze, and resolve complex reimbursement issues. Successful candidates will have a strong understanding of payer requirements, denial management, appeals, and medical claim resolution.

You are an experienced medical accounts receivable professional who enjoys investigating claim issues, navigating payer requirements, and seeing difficult accounts through to resolution. Demonstrated success collecting and resolving outstanding medical accounts receivable balances

Recent experience preparing and filing appeals with Medicare and commercial insurance payers

Experience utilizing payer portals to research claim status and payment information

Strong computer proficiency, including Microsoft Office applications

Orthopaedic, surgical, or specialty practice experience

Knowledge of CPT modifiers and medical coding concepts

Experience with physical therapy and occupational therapy billing and reimbursement

Experience handling workers' compensation and automobile insurance claims

Familiarity with Medicare regulations and commercial payer reimbursement methodologies

Full-time

• Monday through Friday
• This is an in-office position based in our Stuart, FL office

Primarily sedentary office work

Frequent use of computers, telephones, scanners, and other office equipment

Salary ranges shown on job search websites reflect market averages and do not reflect information specific to South Florida Orthopaedics. South Florida Orthopaedics & Sports Medicine