Bill Associate - Workers Compensation in Tampa, Florida at Paradigm

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to Paradigm.

Paradigm is seeking a detail-oriented Billing Associate to support the management of provider requests for additional reimbursement. In this role, you will review and enter claim-related information into company systems, perform initial assessments of reconsideration requests, and collaborate with internal teams to ensure accurate and timely claim processing. The ideal candidate has experience in medical billing, strong analytical skills, and a customer-first mindset with a commitment to delivering exceptional service to providers, clients, injured workers, and internal stakeholders.

Responsibilities:

• Review, interpret, and accurately enter reconsideration information into company systems.
• Analyze claim documentation and identify inconsistencies or missing information.
• Review supporting documents including: UB-04 forms, HCFA/CMS-1500 forms, superbills, manufacturer invoices, implant logs, operative reports.
• Determine when claims require additional bill review.
• Complete reconsideration requests accurately and timely.
• Communicate with providers, billing representatives, attorneys, and internal teams regarding reimbursement requests.Maintain compliance with all privacy, security, and PHI/ePHI requirements.
• Deliver exceptional customer service while managing multiple priorities and deadlines.

Required qualifications:

• Associate degree or equivalent combination of education and experience.
• Experience with Microsoft Office and computer application systems.
• Customer service experience in a call center, production, or client-facing environment.
• Knowledge of medical billing, medical terminology, and surgical implants.
• Strong attention to detail and organizational skills.Proven critical thinking and problem-solving abilities.
• Excellent verbal and written communication skills.
• Ability to manage multiple tasks while maintaining accuracy and quality.Minimum typing speed of 45 WPM.

Preferred qualifications:

• Experience working with insurance companies or healthcare service organizations.
• Bilingual in English and Spanish.