Medical Billing Insurance A/R Specialist

Join The Team At PedIM Healthcare!Delivering exceptional care, together.PedIM Healthcare is the first private medical office of its kind in Citrus County – offering top-quality care for children, adults, and seniors all under one roof. We provide pediatrics, adult internal medicine, family practice, geriatrics, women's care, medical weight-loss, sleep-medicine services and more.Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County.Why Work With Us?A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties.A values-driven environment: we listen, we help, we understand—and we care.Community-oriented and recognized: voted "best of the best" in the region.Opportunity to make a meaningful impact by supporting patients over their full life span—from children to seniors.A workplace committed to employee development and delivering holistic care.The RoleWe are seeking a detail-oriented and motivated Medical Billing Insurance A/R Specialist to join our growing healthcare team. The ideal candidate will have experience working insurance accounts receivable, resolving claim denials, and following up with insurance companies to ensure timely payment of claims.Benefits Available To You:Joining our team means more than just a job—it means access to benefits designed to support your health, well-being, and work-life balance.Health coverage + Sick-N-Well membershipHealth Savings Account (HSA)Life insurancePaid time off401(k) plan + 4% company matchRelax Scofa membershipEmployee Assistance Program (EAP)Employee Recognition ProgramAnd more!What You'll Do:Review and work insurance aging reports dailyFollow up with insurance companies on unpaid, denied, or underpaid claimsResearch and resolve claim denials and rejectionsCorrect and rebill claims as necessaryVerify claim status, eligibility, authorizations, and payment informationPost claim notes and maintain accurate account documentationIdentify billing trends and report recurring issues to managementWork closely with providers and staff to obtain needed documentation or correctionsEnsure claims are processed in compliance with insurance guidelines and company policiesMeet daily productivity and quality expectationsAssist with payment reconciliation and identifying missing EOBs when neededQualities That Make You A Great Fit:Previous experience in medical billing and insurance A/R preferredKnowledge of Medicare, Medicaid, and commercial insurance billingUnderstanding of CPT, ICD-10, HCPCS, and modifier usageExperience with denial management and claim correctionsFamiliarity with EMR/EHR and billing systems (eClinicalWorks experience preferred)Strong attention to detail and organizational skillsAbility to multitask and work independently in a fast-paced environmentExcellent communication and problem-solving skillsExperience working aging reports and high-volume claim follow-upKnowledge of insurance appeal processesAbility to improve workflow efficiency and identify billing issues proactivelyStrong teamwork and professionalismWork Environment & Schedule:This position is located on-site at our corporate office in Crystal River, FloridaThe typical schedule is full-time Monday-FridayCompliance & Equal Opportunity NoticePedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws.

We do not discriminate on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable law.In alignment with the Americans with Disabilities Act (ADA), PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks, credential verifications, and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.EOEPM20