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Medical Support Specialist Jobs in Florida

Medical Billing Support Specialist

PROMD PRACTICE MANAGEMENT INC

  • Pinecrest, FL
  • 5 days ago
  • Full-time

Highlights

This role assists with electronic claim transmissions, prepares and submits paper claims with supporting documentation, and responds to patient inquiries regarding account balances, payments, and billing concerns. The Billing Support Specialist provides administrative and operational support to the billing team to ensure timely and accurate submission of insurance claims, proper documentation, and effective communication with patients and insurance payors.

Numbers & Facts

LocationPinecrest, FL
Job TypeFull-time

Description

Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance


  1. Job Title: Billing Support Specialist (on-site position) 
    Department: Billing / Revenue Cycle Management
    Reports To: Billing Supervisor or Revenue Cycle Manager
    Position Summary
    The Billing Support Specialist provides administrative and operational support to the billing team to ensure timely and accurate submission of insurance claims, proper documentation, and effective communication with patients and insurance payors. This role assists with electronic claim transmissions, prepares and submits paper claims with supporting documentation, and responds to patient inquiries regarding account balances, payments, and billing concerns. The ideal candidate is detail-oriented, organized, and committed to maintaining accurate billing records and providing excellent customer service.
    Essential Duties and Responsibilities
    • Claims Submission and Transmission
      • Assist the billing unit with transmitting electronic insurance claims and verifying successful claim submissions.
      • Review claims for completeness and accuracy before submission.
      • Identify and report claim transmission errors, rejections, or missing information for correction.
      • Prepare and submit paper claims to insurance companies and other payors when electronic submission is not available or appropriate.
      • Gather and attach required supporting documentation, including medical records, authorizations, referrals, and other relevant billing documents, as applicable.
      • Track submitted claims and maintain accurate records of submission dates and supporting documentation.
    • Patient Billing Support
      • Answer incoming patient calls regarding outstanding balances, statements, payments, and general billing inquiries.
      • Explain account balances and billing information in a professional, courteous, and understandable manner.
      • Review patient accounts to help identify payment activity, outstanding charges, and potential billing discrepancies.
      • Direct complex billing questions, disputes, and payment concerns to the appropriate team member for resolution.
      • Document patient communications and follow-up actions accurately in the billing system.
    • Documentation and Account Maintenance
      • Maintain organized electronic and paper billing records.
      • Ensure required claim forms and supporting documentation are complete and properly filed.
      • Assist with updating patient account information and correcting administrative errors as needed.
      • Protect confidential patient and financial information in accordance with HIPAA and organizational policies.
    • Billing Department Support
      • Collaborate with billing specialists, accounts receivable staff, and other departments to facilitate timely claim processing.
      • Assist with researching rejected claims, missing documentation, and other billing-related issues.
      • Follow up on outstanding claim submissions and escalate unresolved issues to the appropriate personnel.
      • Perform data entry, scanning, filing, and other administrative duties related to billing operations.
      • Meet established productivity, accuracy, and customer service standards.
      • Perform other related duties as assigned.

  2. Qualifications and Requirements

    • High school diploma or equivalent required.
    • Previous experience in medical billing, healthcare administration, patient account services, or a related field preferred.
    • Familiarity with electronic claim submission, paper claim processing, and insurance billing procedures preferred.
    • Basic knowledge of insurance payors, claim forms, and supporting documentation requirements.
    • Strong verbal and written communication skills.
    • Excellent attention to detail, organization, and time management.
    • Ability to handle patient inquiries professionally and maintain confidentiality.
    • Basic computer skills and proficiency with electronic health records (EHR), billing systems, and Microsoft Office applications.
    • Ability to work independently and collaboratively in a fast-paced environment.

  3. Key Competencies

    • Accuracy and attention to detail
    • Customer service and telephone etiquette
    • Organization and follow-through
    • Problem-solving and critical thinking
    • Confidentiality and professionalism
    • Teamwork and accountability

  4. Performance Expectations

    • Timely and accurate transmission of electronic claims.
    • Complete and timely preparation of paper claims with required supporting documentation.
    • Professional and responsive handling of patient billing inquiries.
    • Accurate documentation of patient communications and billing activities.
    • Effective follow-up on claim submission issues and missing information.
    • Compliance with established billing procedures, privacy requirements, and departmental standards.








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