Medical Billing Specialist

Medical Billing & AR Speialist

Medical Billing & AR Specialist

About Broward Children’s Center (BCC)

Broward Children’s Center (BCC) is dedicated to transforming lives by providing specialized care to children and young adults who are medically fragile and developmentally disabled. Our comprehensive services range from 24/7 skilled nursing at our pediatric care facility to developmental education programs, therapeutic support, and family-centered services like respite care, social services, and in-home health support.

With unique programs including ABA therapy, developmental preschools, K-12, Home Health and PPEC outpatient care, BCC ensures each individual receives tailored support to thrive. Our team also takes part in community events, such as our annual 5K and golf tournament, creating a vibrant, mission-driven workplace.

“With your support, Broward Children’s Center (BCC) provides quality programs to infants, children, and young adults who are developmentally disabled and/or medically fragile through a continuum of services designed to meet the needs of children and their families.”

If you’re passionate about impactful work and a supportive team environment, BCC may be the perfect place for your career.

Summary
The Medical Billing Specialist role involves all administrative and credentialing functions, billing, denial resolution, revenue collections, accounts receivable and third-party payer audits. This also includes analyzing trends, adhering to regulatory compliance; implementing and managing the utilization of all insurance payers, clearinghouses and third party systems to manage and maximize cash flow. The Medical Billing Specialist reports directly to the Medical Billing Collection Specialist and ultimately to the Controller.

Education and/or Experience
Associate degree (A.A) or five years related experience and/or training; or equivalent combination of education and experiences.
QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 

Essential Functions

1. Review patient bills for accuracy and completeness and obtain any missing information from the Organization’s programs as assigned.
2. Collaborate regularly with appropriate department manager and departments to obtain provider credentials and services.
3. Establish follow-up for monthly claim submissions to manage revenue cycle
4. Actively work to resolve disputed claims and maximize claim payments.
5. Manage collections monthly to ensure revenue collecting activities are completed to maximize cash flow.
6. Prepare breakdown of payments and reconcile remittance advices and review EOB(s) and EOP(s)
7. Verify all A/R entries, reconciling discrepancies to maintain accuracy in accounting records.
8. Record and reconcile revenues and payments to A/R systems for month-end reporting and closings, prepare reports on outstanding balances.
9. Perform ongoing trend analysis of third party pending reimbursements and denials
10. Improve revenue cycle throughout the organization, by working with appropriate departments, payers and vendors to aid in the resolution of identified revenue cycle issues
11. Acts as a liaison to clinical departments to ensure that new initiatives and individual contracts are implemented and monitored
12. Assist with organization fiscal year-end audit
13. Actively participates in staff development, assessments and training to support industry best practices and trends
LANGUAGE SKILLS
Ability to read and comprehend simple instruction, short correspondence, and memos. Ability to write correspondence. Ability to effectively present information in one-on-one and small group situations to vendors, clients, and other employees of the organization.

Certificates, Licenses, Registrations

A Valid Florida Driver’s License OTHER SKILLS AND ABILITIES Strong assessment and documentation skills. Medical terminology background is preferred. Previous experience in Healthcare setting. Proficient in Excel. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. This job operates in a clerical, office
setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit and use hands to finger, handle, or feel. The employee must occasionally stand; walk; reach with hands and arms; stoop, kneel, crouch, or crawl; talk or hear. The employee must occasionally lift and/ or move up to 25 pounds. Specific vison abilities required by this job include close vison, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Employee Benefits

Broward Children’s Center (BCC) is proud to offer a comprehensive benefits package to full-time benefit eligible positions to support your health, financial security, and well-being. Key benefits include:

• Medical, Dental, and Vision Coverage: Multiple plan options to suit individual and family needs once eligibility requirements are met..
• Income Protection: Employer-paid basic life insurance and employer-paid short-term disability once eligibility requirements are met.
• Flexible Spending Accounts: Options for medical and dependent care expenses, allowing pre-tax contributions.
• 401(k) Retirement Plan: Automatic enrollment after eligibility, with diverse investment options to help secure your future once eligibility requirements are met.
• Additional Support: Access to an Employee Assistance Program (EAP) and voluntary supplemental insurance, including accident and critical illness coverage.

Employee Childcare:
BCC offers valuable childcare programs to support our employees and their families:

• Step Up Scholarship for Students with Unique Abilities (Pre-K up to 8th grade). We offer Private Therapy Services for those that qualify. Breakfast, lunch, and snacks are included.
• Early Learning Coalition of Broward County School Readiness Program (for children ages 1 up to 3 years old). Early Steps Therapy Services for those that qualify. Breakfast, lunch, and snacks are included.
• Employee Daycare (for ages 1 year through 5 years old), available at $150 per week, inclusive of breakfast, lunch, and snacks.
• Broward County Non-School Days: We offer our employees child care when Broward County has non-school days (winter break, spring break, thanksgiving break), with the exception of major holidays (Thanksgiving, Christmas day, etc.).

Join BCC and enjoy a supportive, robust benefits program designed to help you thrive in both your personal and professional life.

Salary : $25 - $27