Job Description
Join our award-winning healthcare finance team as a Senior Billing Specialist in Jacksonville! We're seeking a meticulous professional to optimize revenue cycles and ensure compliance with complex billing regulations. This hybrid role combines remote flexibility with collaborative in-office work at our state-of-the-art facility near the St. Johns River.
Responsibilities
- Process complex medical claims with 99.2% accuracy across multiple insurance payers
- Conduct monthly audits of billing codes (ICD-10/CPT) to maximize reimbursement
- Resolve patient billing inquiries within 24 hours via phone/email portals
- Collaborate with clinical teams to document chargeable procedures
- Implement process improvements reducing denial rates by 15%+
- Maintain HIPAA-compliant documentation in Epic EHR systems
Qualifications
- 5+ years medical billing experience in outpatient/hospital settings
- Certified Professional Biller (CPB) or CPC credentials required
- Expertise in Florida Medicaid/Medicare reimbursement guidelines
- Advanced proficiency in Epic Resolute and NextGen platforms
- Proven track record reducing AR days below 45 days
- Bachelor's degree in Healthcare Finance or related field