Medical Billing & Collections Specialist II

Medical Billing & Collections Specialist II page is loaded## Medical Billing & Collections Specialist IIremote type:
Hybrid - Full Time locations:
Fort Myers, FLtime type:
Full time posted on:
Posted Todaytime left to apply:
End Date:
January 29, 2026 (30 days left to apply) job requisition :
M101725
** Job Description Summary
** Position is on our Customer Service Team. Responsible to provide support to patients, providers and customers internally and externally on billing related inquiries. The employee works insurance claims and patient accounts using department guidelines and MPG electronic systems. The position requires a thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers and fee schedule differences. Also requires understanding of how to decipher explanation of benefits and explain the impact to the customer.

Position requires the ability to conduct telephone and face to face meetings with patients regarding account resolution and payment collection as well as via portal messaging. Assist customers with hardship applications, payment plans and eligibility for services. Expert verbal communication, interpersonal skills and professional appearance required for dealing with customers.
** How will you make an impact & Requirements
**** Essential Duties and Responsibilities
** include the following. Other duties may be assigned.
* Demonstrates excellent interpersonal skills with patients, coworkers and insurance carriers.
* Ensures the protection of patient information from unauthorized inquiries and is well-versed with all HIPPA Guidelines.
* Processes and posts payments to accounts same day.
* Resolves patient complaints within a minimal timeframe, same day whenever possible.
* Meets timelines for reprocessing claims after updating the account with new information as provided by patients or physicians within the guidelines and time frames permitted by the insurance carrier.
* Maintains advanced knowledge of cpt and modifiers.
* Maintains knowledge of Claim adjudication carrier rules.
* Meets or Exceeds monthly performance goals, expectations and reviews.
* Communicates call trends to managements when needed for possible escalation.

Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. The Business Units which comprise Mosaic Health are multi-payer and serve nearly one million consumers across 19 states, providing them with access to high quality primary care, integrated care teams, personalized navigation, expanded digital access, and specialized services for higher-need populations.

Through Mosaic Health, health plans and employers have an even stronger care provider partner that delivers affordability and superior experiences for their members and employees, including value-based primary care capacity integrated with digital patient engagement and navigation. Each of the companies within Mosaic Health provide unique offerings that together promise to improve individuals' health and wellbeing, while helping care providers deliver higher quality care.

For more information, please visit  Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

If you require an accommodation for the application or interview process, please let us know and we will work with you to meet your needs. Please contact  for assistance.
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