Medical Billing Insurance A/R Specialist

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.

About 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.

Responsibilities

• 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

• 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

Benefits

• 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

Pay

$16–$18 hourly wage

Schedule

Full-time, Monday–Friday, on-site at our corporate office in Crystal River, Florida.