Senior Medical Billing Specialist -(Local Candidates Only) at The Hirsh Center – Delray Beach, Florida

*LOCAL CANDIDATES ONLY

Who We Are

The Hirsh Center is a specialty healthcare practice committed to delivering exceptional care and building meaningful, long-term relationships with our patients. We take pride in providing a supportive and collaborative work environment where team members are valued, trained, and given opportunities to grow.

Why Work Here

At The Hirsh Center, we believe great care starts with a great team. This is a great opportunity for an experienced billing professional who enjoys working in a specialty practice, values teamwork, and wants a stable schedule with long-term growth potential. We offer a predictable weekday schedule, no nights or weekends, and we are closed for major holidays, supporting strong work-life balance.

*This is an onsite based position located in Delray Beach, FL, Monday-Friday . No remote or hybrid candidates will be considered.

Position Summary

The Senior Medical Billing Specialist supports high-level medical billing and revenue cycle operations including claim submission, payment posting, denial management, insurance follow-up, and accounts receivable resolution. This role plays an important part in ensuring clean claims, accurate documentation, and consistent billing outcomes across payers.

This position also maintains oversight of Sunrise, our external third-party billing agency, supporting timely resolution of open claims, payer issues, and billing follow-up.

Key Responsibilities

Medical Billing & Claims

• Submit and monitor medical claims to insurance companies (commercial, Medicare, etc.)
• Review claim edits, rejections, and clearinghouse reports to ensure timely resubmission
• Review EOBs/ERAs and identify denials, underpayments, and claim discrepancies

Denials, Appeals & Follow-Up

• Research and resolve claim denials and rejections, including appeals and corrected claims
• Track denial trends and identify patterns impacting revenue and reimbursement
• Follow up with insurance carriers using payer portals and phone support when needed
• Maintain strong documentation and notes throughout the claim lifecycle

Accounts Receivable (AR) Management

• Monitor AR and work open balances to resolution
• Support timely collections and ensure claims move through the revenue cycle efficiently
• Assist with patient billing questions and balance clarification when applicable

Eligibility & Authorizations Support

• Verify eligibility and benefits to support correct billing outcomes
• Assist with authorizations for procedures or visits as needed

Third-Party Billing Oversight (Sunrise)

• Serve as the point of contact for coordination with Sunrise (third-party billing agency)
• Review payments from payers and patients (EFT, checks, credit cards) and reconcile as needed

• Track open items and ensure follow-through on claims, denials, payer requests, and corrections
• Partner with internal teams and Sunrise to resolve billing barriers quickly and accurately

Reporting & Workflow Support

• Review daily reports including BBP and clearinghouse activity reports
• Support billing projects and reporting as assigned by the Director of RCM
• Help strengthen processes that improve claims accuracy and reduce denial volume

Medical Records Support

• Submit medical records to payers as requested to support claim adjudication

Required Qualifications

• Minimum 5 years of medical billing experience required
• Strong knowledge of billing processes, AR follow-up, and denial resolution
• Working knowledge of CPT, ICD-10, and HCPCS codes
• Experience using medical billing software and EHR systems
• Proficiency with payer portals, claim status tools, and clearinghouse workflows
• Strong attention to detail, accuracy, and follow-through
• Ability to prioritize and manage tasks in a fast-paced healthcare environment

Preferred Qualifications

• Certification in Medical Billing and Coding (preferred)
• Specialty practice billing experience (highly preferred)

Compensation and Benefits

• Competitive pay, training provided and opportunities for growth
• 100% employer paid health insurance
• 100% employer paid disability insurance
• 401(K) matching up to 4%
• Life insurance policy
• Dental insurance
• Vision insurance
• Lunch provided 2–3 times per week
• PTO and paid holidays
• $275 yearly scrub stipend
• License and CEU yearly stipend
• $600 yearly attendance incentive
• Monthly team incentives
• Professional development assistance available
• Opportunity for promotion

Why Start at The Hirsh Center?

• Supportive, collaborative team culture
• Specialty practice environment with meaningful patient relationships
• Clear growth and advancement pathways
• Predictable weekday schedule (no nights or weekends)
• Closed for major holidays
• A strong foundation for long-term careers in healthcare