Medical Billing Insurance A/R Specialist

Description

Join the Team at PedIM Healthcare!

Delivering exceptional care, together.

Who We Are

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 Role

We 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 membership
• Health Savings Account (HSA)
• Life insurance
• Paid time off
• 401(k) plan 4% company match
• Relax Scofa membership
• Employee Assistance Program (EAP)
• Employee Recognition Program
• And more!
  

What You’ll Do:

• Review and work insurance aging reports daily
• Follow up with insurance companies on unpaid, denied, or underpaid claims
• Research and resolve claim denials and rejections
• Correct and rebill claims as necessary
• Verify claim status, eligibility, authorizations, and payment information
• Post claim notes and maintain accurate account documentation
• Identify billing trends and report recurring issues to management
• Work closely with providers and staff to obtain needed documentation or corrections
• Ensure claims are processed in compliance with insurance guidelines and company policies
• Meet daily productivity and quality expectations
• Assist with payment reconciliation and identifying missing EOBs when needed

Requirements

Qualities That Make You A Great Fit:

• Previous experience in medical billing and insurance A/R preferred
• Knowledge of Medicare, Medicaid, and commercial insurance billing
• Understanding of CPT, ICD-10, HCPCS, and modifier usage
• Experience with denial management and claim corrections
• Familiarity with EMR/EHR and billing systems (eClinicalWorks experience preferred)
• Strong attention to detail and organizational skills
• Ability to multitask and work independently in a fast-paced environment
• Excellent communication and problem-solving skills
• Experience working aging reports and high-volume claim follow-up
• Knowledge of insurance appeal processes
• Ability to improve workflow efficiency and identify billing issues proactively
• Strong teamwork and professionalism
  

Work Environment & Schedule:

• This position is located on-site at our corporate office in Crystal River, Florida
• The typical schedule is full-time Monday-Friday

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks, verification of credentials, and compliance with health and safety requirements.

Compliance & Equal Opportunity Notice

PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws. We believe every team member deserves a workplace built on respect, fairness, and opportunity.

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.
 

EOE

PM20