Billing Representative

About the Role

At Healthcare.com, we're looking for a detail-oriented, proactive Billing Representative who thrives on solving problems, uncovering solutions, and making a meaningful impact. In this role, you'll help ensure patients receive the medications they need by researching claims, resolving billing issues, and driving timely reimbursement. Working across multiple platforms—including Liberty, DaisyBill, accounts receivable (AR) tools, email, and phone systems—you'll investigate claims, resolve denials, manage aging accounts, and perform critical pre-dispensing verification.

Responsibilities

• Claims Management & Accounts Receivable
  • Research and resolve denied, underpaid, and outstanding claims.
  • Submit reconsiderations, appeals, and claim resubmissions as appropriate.
  • Manage accounts receivable with a strategic focus on aging balances and timely collections.
  • Audit patient accounts across multiple systems to ensure accuracy, completeness, and compliance.
  • Identify billing discrepancies and take ownership of accounts through final resolution.
  • Maintain accurate documentation of account activity and claim status.
• Collections & Provider Relations
  • Follow up on outstanding balances with insurance carriers and other payers.
  • Communicate with attorneys regarding litigated claims to obtain case updates and facilitate payment.
  • Request Letters of Medical Necessity (LMNs) and supporting documentation from treating physicians.
  • Build positive working relationships with internal teams, providers, and external partners to resolve billing issues efficiently.
• Pre-Dispensing Verification
  • Complete billing verification before medication is dispensed to ensure claims are clean and payable.
  • Verify insurance coverage, authorizations, and required documentation.
  • Collaborate with internal departments to minimize delays and create a seamless patient experience.

Requirements

• Experienced in medical billing, pharmacy billing, accounts receivable, or healthcare revenue cycle management.
• Workers' Compensation and/or DaisyBill experience is a strong plus, but not required.
• Familiar with Liberty, DaisyBill, or similar pharmacy billing and accounts receivable systems.
• Skilled at researching and resolving complex billing issues across multiple platforms.
• An excellent communicator with strong verbal and written communication skills.
• Highly organized with exceptional attention to detail and strong time management skills.
• Able to prioritize competing responsibilities while effectively managing aging accounts.
• Self-motivated and comfortable working independently in a fast-paced environment.
• Proficient in Microsoft Office, particularly Excel.
• Committed to accuracy, accountability, and delivering exceptional service to patients and partners.

Benefits

• Health Insurance: Florida Blue PPO or HSA plan, with company contributions to your HSA ($2K for individuals, $4K for families).
• Dental & Vision: Delta Dental, Aetna, or Guardian for dental; Aetna/VSP for vision.
• 401(k): 3% company match on 6% contribution; eligible upon hire.
• Paid Time Off: 15 days PTO to start, plus paid holidays.
• Parental Leave: 8 weeks paid leave for new parents (birth or adoption).
• Employee Assistance Program (EAP): Free, confidential support for mental health, legal, financial, and other personal challenges.
• Life & AD&D Insurance: Company-paid coverage.
• Discounts: Free access to Working Advantage for exclusive discounts on Disney, Six Flags, NFL tickets, hotels, streaming, dining, and more.