Senior Medical Billing Specialist
GlyCare® by Diabetes Management Partners, Jacksonville, FL, United States
We are seeking an experienced
Medical Billing Specialist
to support a hospital-based group practice operating across multiple states, with a
primary focus on Insurance Accounts Receivable under 60 days .
This is not an entry-level role. The ideal candidate has hands‑on experience managing
early‑stage A/R , ensuring claims move efficiently through the revenue cycle, and
identifying and resolving issues before they age into long‑term A/R .
This role is critical in a rapidly growing, multi‑state environment.
The candidate must be comfortable supporting
new hospital implementations , identifying payer setup issues early, and ensuring A/R performance remains stable as the organization expands.
This role is focused on prevention, not cleanup—success is measured by reducing A/R aging before it becomes a >60‑day issue.
What You’ll Do
Own and manage Insurance A/R under 60 days, ensuring claims are progressing toward timely payment
Proactively follow up on newly billed claims and early‑stage A/R to prevent aging beyond 60 days
Identify and resolve issues early in the claim lifecycle (e.g., claim rejections, missing information, enrollment gaps, payer‑specific requirements)
Investigate and resolve unpaid or delayed claims across multiple payers
Proactively research and resolve payer‑specific issues, including contacting payers when needed
Track, monitor, and manage A/R performance across newly onboarded hospitals
Identify and Escalate payer or setup issues early in new hospital implementations
Develop and maintain tracking tools (Excel or similar) for payer issues, A/R trends, and potential risks
Review, correct, and resubmit rejected or denied claims as needed
Monitor trends and escalat e recurring payer issues to prevent future delays
Maintain accurate, audit‑ready documentation of all follow‑up activities
Collaborate with internal teams to improve clean claim rates and reduce A/R aging
Note: While this role may support other billing functions as needed, the primary responsibility is early‑stage Insurance A/R management and prevention of aging.
Required Experience & Qualifications
Minimum 2+ years of recent experience, as described in a hospital‑based or large group practice
Strong experience with Insurance A/R follow-up focused on early‑stage accounts (0–60 days). Meaning having an understanding of and understanding why claims are being denied and how to fix it.
Demonstrated experience working with multiple payers (commercial, Medicare, Medicaid, managed care)
Experience supporting billing operations across multiple states or payer jurisdictions
Experience supporting new hospital or practice onboarding, expansions, or implementations strongly preferred
Working knowledge of payer guidelines, claim requirements, and reimbursement workflows
Proven ability to identify issues early, problem‑solve, and driver resolution independently
Experience communicating directly with payers to resolve complex issues
Proficiency with EMR and billing software
Strong Excel skills for tracking and reporting
Excellent attention to detail, organization, and follow‑through
Key Traits for Success
Proactive thinker who identifies and resolves issues before they escalated
Thrives in a high‑growth, fast‑paced, multi‑state environment
Ability to independently problem‑solve in unstructured situations, including deciphering issues without predefined procedures or standard answers
Strong problem‑solver who can navigate new or unfamiliar payer requirements
Comfortable working independently with minimal oversight
Persistent and resourceful in resolving complex billing issues
Ability to build structure, tracking, and processes in evolving operational environments
Positive, team‑oriented mindset with strong communication skills
Education
A degree is not required if you have relevant medical billing experience
A degree without hands‑on billing experience will not meet the requirements of this role
Compensation
Salary range: $56,000 – $68,000 annually (commensurate with experience). This position is onsite Monday - Friday.
#J-18808-Ljbffr
Medical Billing Specialist
to support a hospital-based group practice operating across multiple states, with a
primary focus on Insurance Accounts Receivable under 60 days .
This is not an entry-level role. The ideal candidate has hands‑on experience managing
early‑stage A/R , ensuring claims move efficiently through the revenue cycle, and
identifying and resolving issues before they age into long‑term A/R .
This role is critical in a rapidly growing, multi‑state environment.
The candidate must be comfortable supporting
new hospital implementations , identifying payer setup issues early, and ensuring A/R performance remains stable as the organization expands.
This role is focused on prevention, not cleanup—success is measured by reducing A/R aging before it becomes a >60‑day issue.
What You’ll Do
Own and manage Insurance A/R under 60 days, ensuring claims are progressing toward timely payment
Proactively follow up on newly billed claims and early‑stage A/R to prevent aging beyond 60 days
Identify and resolve issues early in the claim lifecycle (e.g., claim rejections, missing information, enrollment gaps, payer‑specific requirements)
Investigate and resolve unpaid or delayed claims across multiple payers
Proactively research and resolve payer‑specific issues, including contacting payers when needed
Track, monitor, and manage A/R performance across newly onboarded hospitals
Identify and Escalate payer or setup issues early in new hospital implementations
Develop and maintain tracking tools (Excel or similar) for payer issues, A/R trends, and potential risks
Review, correct, and resubmit rejected or denied claims as needed
Monitor trends and escalat e recurring payer issues to prevent future delays
Maintain accurate, audit‑ready documentation of all follow‑up activities
Collaborate with internal teams to improve clean claim rates and reduce A/R aging
Note: While this role may support other billing functions as needed, the primary responsibility is early‑stage Insurance A/R management and prevention of aging.
Required Experience & Qualifications
Minimum 2+ years of recent experience, as described in a hospital‑based or large group practice
Strong experience with Insurance A/R follow-up focused on early‑stage accounts (0–60 days). Meaning having an understanding of and understanding why claims are being denied and how to fix it.
Demonstrated experience working with multiple payers (commercial, Medicare, Medicaid, managed care)
Experience supporting billing operations across multiple states or payer jurisdictions
Experience supporting new hospital or practice onboarding, expansions, or implementations strongly preferred
Working knowledge of payer guidelines, claim requirements, and reimbursement workflows
Proven ability to identify issues early, problem‑solve, and driver resolution independently
Experience communicating directly with payers to resolve complex issues
Proficiency with EMR and billing software
Strong Excel skills for tracking and reporting
Excellent attention to detail, organization, and follow‑through
Key Traits for Success
Proactive thinker who identifies and resolves issues before they escalated
Thrives in a high‑growth, fast‑paced, multi‑state environment
Ability to independently problem‑solve in unstructured situations, including deciphering issues without predefined procedures or standard answers
Strong problem‑solver who can navigate new or unfamiliar payer requirements
Comfortable working independently with minimal oversight
Persistent and resourceful in resolving complex billing issues
Ability to build structure, tracking, and processes in evolving operational environments
Positive, team‑oriented mindset with strong communication skills
Education
A degree is not required if you have relevant medical billing experience
A degree without hands‑on billing experience will not meet the requirements of this role
Compensation
Salary range: $56,000 – $68,000 annually (commensurate with experience). This position is onsite Monday - Friday.
#J-18808-Ljbffr