We are looking for a skilled and detail-oriented individual with experience in Medical Billing, Claims, and Collections to join our team in Daytona Beach, Florida. This role focuses on managing accounts receivable and collections for commercial insurance and Medicare/Medicaid accounts while ensuring compliance and accuracy in claims processing. As a long-term contract position, it offers the opportunity to contribute to vital healthcare operations within a dynamic environment.<br><br>Responsibilities:<br>• Handle accounts receivable clean-up activities, prioritizing outstanding commercial and Medicare/Medicaid balances.<br>• Oversee collection efforts by following up on aged accounts and resolving discrepancies to ensure timely payments.<br>• Review and process claims with a focus on accuracy, compliance, and timely reimbursement.<br>• Utilize Epic system work queues to verify that claims are complete, clean, and ready for submission.<br>• Collaborate with internal teams to support efficient billing operations and resolve AR-related challenges.<br>• Identify recurring issues in claims or AR processes and recommend improvements.<br>• Maintain accurate and up-to-date documentation across systems to ensure seamless operations.<br>• Provide expertise in navigating both legacy and updated systems for efficient claims and collections handling.<br>• Communicate effectively with payers to address disputes and secure resolutions for outstanding balances.

• Proven experience in medical billing, claims processing, and collections within a healthcare setting.<br>• Demonstrated expertise in managing accounts receivable for commercial insurance and Medicare/Medicaid.<br>• Proficiency with Epic EMR systems and familiarity with legacy systems like Netsmart is a plus.<br>• Strong attention to detail and ability to ensure compliance in claims processing.<br>• Excellent organizational and time-management skills to prioritize tasks effectively.<br>• Strong communication skills for collaborating with internal teams and engaging with payers.<br>• Ability to identify and resolve discrepancies in accounts receivable and claims.<br>• Experience in handling aged accounts and implementing effective collection strategies.

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