Medical Claims Specialist

3 weeks ago


Fort Lauderdale, Florida, United States Envision Staffing Solutions Full time

Job Overview

We are seeking a skilled Billing Analyst to join our team at Envision Staffing Solutions. This role is responsible for managing the billing process, ensuring accurate and timely submission of claims to insurance companies.

Your Key Responsibilities

  • Submit claims to insurance companies and government payers using appropriate coding systems (CPT, ICD-10).
  • Generate regular reports on billing metrics, collections, and outstanding claims for management review.
  • Verify and match payments with open claims, ensuring all claims are properly adjudicated and payment amounts are accurately reflected.
  • Monitor outstanding claims and follow up with insurance companies to resolve issues, denials, and discrepancies.
  • Maintain accurate and detailed records of billing activities, claims submissions, and payment receipts in the practice management system.
  • Stay updated on healthcare billing regulations and coding updates to ensure compliance and reduce claim denials.
  • Collaborate with other departments to resolve billing issues and improve overall revenue cycle efficiency.
  • Track claim rejections in the clearinghouse and make necessary corrections according to billing guidelines.

About You

  • 2-6 years of experience in medical accounts receivable, healthcare claims processing, or medical billing.
  • Strong experience in MS Office Suite.
  • Experience working with claims management software and electronic health records (EHR) systems is a plus.

Salary Information

The estimated salary range for this position is $60,000 - $80,000 per year, depending on experience and qualifications.


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