Insurance Claims Specialist- Hospital Billing

3 weeks ago


Cape Coral, Florida, United States Lee Health Full time

Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991

Department: Patient Business Office

Work Type: Full Time

Shift:

Monday-Thursday 7:00 AM 4:30 PM

Friday 7:00 AM 11:00 AM

Minimum to Midpoint Pay Rate:$ $18.75 / hour

Summary

This position is for hospital claims billing, follow up, and denial resolution for Medicare accounts. This role promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing and collection of Medicare accounts. Responsibilities include the resolution of accounts receivable by working assigned reports, work queues and claim edits to secure maximum reimbursement and to resolve denied or underpaid claims in a timely manner. The candidate must be able to manage high claim volumes while remaining detailed oriented. The ability to multi-task and prioritize tasks is essential. Must possess excellent communication skills, work collaboratively with others to promote positive customer and employee relations. The ability to appropriately handle the stress and complexity of the position regarding the ever-changing requirements of Medicare and the Health System is required. Having a basic understanding of federal and state billing regulations as well as requirements specific to Medicare, Medicaid, and fiscal intermediaries to promote compliant claims submission practices for governmental claims is preferred. Computer experience is required. EPIC knowledge preferred. Must be a high school graduate or equivalent (GED). Previous medical/financial healthcare or business office related experience is preferred.

Opportunity for remote work after fully trained.

RequirementsEducational RequirementsDegree/Diploma ObtainedProgram of StudyRequired/
Preferred
and/orHigh School Diploma or EquivalentRequiredorExperience RequirementsMinimum Years RequiredArea of ExperienceRequired/
Preferred
and/or1 YearBilling/InsurancePreferredState of Florida Licensure RequirementsLicensesRequired/
Preferred
and/orNot RequiredCertifications/Registration RequirementsCertificates/RegistrationsRequired/
Preferred
and/or

US:FL:Cape Coral



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