Billing Specialist
Paradigm
full-time
Posted on:
Location Type: Office
Location: Miami • Florida • United States
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Salary
💰 $55,000 - $65,000 per year
About the role
- Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles
- Ensure all claim details are complete and error-free, including coding, provider information, and service dates
- Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
- Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections
- Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission
- Ensure compliance with industry regulations, payer policies, and internal billing procedures
- Maintain accurate and organized billing records and documentation
- Identify and report billing trends, potential errors, and areas for process improvement
- Collaborate with internal teams to standardize billing practices and enhance efficiency
- Support billing audits and internal quality control measures
- Other duties as assigned
Requirements
- Experience working in billing and health care preferred
- Customer service experience preferred
- Excellent follow-up, time management, and communication skills required
- Proficiency in MS Office Suite (Outlook, Word, Excel) is required
- High school degree required
Benefits
- Medical, dental, and vision benefits
- 401k retirement plan
- Aflac benefits
- Paid time off
- Professional development support
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims preparationcodingbilling procedurestaxonomy codesmodifiersbilling auditsquality control
Soft Skills
customer servicetime managementcommunicationfollow-up