Medical Billing & Collections Specialist-Tier 2

BROWARD CHILDRENS CENTER • Pompano Beach, FL

3d

About The Position

The Medical Billing & Collections Specialist – Tier II performs advanced billing, reimbursement, and A/R accounting functions to support the financial operations of a nonprofit 501(c)(3) healthcare organization. This position handles billing for diverse service lines—including medical, DME (Durable Medical Equipment), grant-funded programs, and skilled nursing facilities (SNFs)—and ensures compliance with payer, grant, and nonprofit accounting standards. The role bridges billing and finance by assisting with reconciliation, reporting, and the accuracy of accounts receivable, supporting the organization’s mission of community service and financial stewardship.

Requirements

• High school diploma or equivalent required; associate degree or certification in accounting, medical billing, or healthcare administration preferred.
• 2–4 years of experience in medical billing, A/R, or accounting functions—preferably in nonprofit healthcare, DME, SNF, or grant-based environments.
• Strong understanding of revenue cycle management, payer regulations, and nonprofit accounting practices.
• Proficiency with billing/EHR systems (e.g., eClinicalWorks, Kareo, MatrixCare, Brightree) and accounting software (e.g., QuickBooks, Sage Intacct, or similar).
• Advanced knowledge of CPT, HCPCS, and ICD-10 coding.
• Excellent analytical, reconciliation, and organizational skills.
• Strong communication skills and attention to detail.
• Commitment to ethical billing, financial integrity, and community-centered healthcare.

Responsibilities

• Prepare, review, and submit accurate and timely claims to insurance carriers, Medicare, Medicaid, and grant-funded programs.
• Process billing for multiple service lines, including DME, SNF, outpatient medical, and specialty care programs.
• Verify patient eligibility, coverage, and prior authorizations before claim submission.
• Ensure all documentation, coding (CPT, HCPCS, ICD-10), and billing meet compliance and funding requirements.
• Perform full stages of Claim Appeals (if applicable)
• Post and reconcile all payments, adjustments, and denials in the billing system and A/R ledger.
• Monitor aging reports; follow up on outstanding claims and patient balances to ensure timely collection.
• Perform monthly A/R reconciliations between the billing system and general ledger; identify and resolve variances.
• Record and track refunds, write-offs, and adjustments in compliance with internal accounting policies.
• Support accounting staff in preparing journal entries and monthly closing activities related to accounts receivable.
• Assist in developing and maintaining financial schedules for grant-funded programs, ensuring proper allocation of billed revenue.
• Maintain strict compliance with HIPAA, CMS, GAAP, and nonprofit accounting standards.
• Prepare supporting documentation for audits, grant reporting, and financial statements.
• Communicate professionally with patients, payers, and funding agencies regarding balances, denials, and billing issues.
• Collaborate across billing, accounting, and program departments to ensure billing accuracy and revenue integrity.
• Provide guidance and technical assistance to Tier I billing staff.
• Participate in workflow reviews, system upgrades, and process improvement initiatives.
• Contribute to a culture of collaboration, integrity, and mission alignment consistent with nonprofit values.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED