Medical Billing Specialist

2 months ago

Clearwater, United States Pinellas County FL Full time

Pinellas County Ambulance Billing is one of the largest ambulance providers in the country and is the exclusive ambulance provider for Pinellas County. Our vision is to be nationally recognized as the industry leader in ambulance billing. If you thrive in a fast-paced, challenging environment in a dynamic industry, this is the opportunity you have been looking for with great benefits

We are looking for a candidate that can perform complex clerical and financial work reviewing, processing, and researching specialized records with substantial financial impact in an automated office environment; A candidate that can help oversee the Emergency Medical Services (EMS) medical billing system with emphasis on ensuring funds due to the County are received from insurance companies, Medicare, Medicaid, or other involved agencies; and a candidate that can maintain close contact with the County Attorney’s Office in ensuring the collection of funds owed and in resolving issues related to estate cases, auto accidents, etc.

What Would You Do?

Research, verify, update, and confirm the accuracy of information in the medical billing system and the Sunstar Membership Program. Process medical billing claims. Review medical cases to determine if some or all expenses should be billed to Medicare, Medicaid, insurance companies, or other agencies and corresponds and follows through with agencies to ensure funds are collected. Assist in facilitating legal, STAT, and records requests from patients, their representatives, and insurance agencies. Coordinate closely with vendors to facilitate the accurate processing of claims. Assist with patient service walk-ins. Interpret medical information provided on run reports and applies appropriate medical coding. Process credit card payments via mail and/or by phone. Process both cash and check payments received via mail or walk in customers and issues receipts as necessary. Prepare reports and performs special projects as required. May audit, review, and process accounts and may perform complex case related functions. May conduct investigations and audits to resolve problems from misapplied funds or dormant accounts. May assist and fill in for supervisory level positions by resolving staff or customer problems and scheduling, assigning, and prioritizing duties to employees to ensure workload is accomplished. May also perform a variety of tasks related to an automated office environment. Performs other related job duties as assigned.

What Do You Need To Have?

Proficiency with Microsoft Windows, Word, Excel, and Adobe Acrobat. Proficiency with working with various automated software applications. Ability to independently work a hybrid schedule after training is completed. Assignment to work a variety of customer service and administrative tasks including compulsory work periods in special, emergency, and/or disaster situations.

Medial Billing Specialist 1

Three years’ experience in medical billing, claim analysis, denial review, or secondary billing workflow functions; or An equivalent combination of education, training, and/or experience.

M edical Billing Specialist 2

Five years’ experience in medical billing, claim analysis, denial review, or secondary billing workflow functions; or An equivalent combination of education, training, and/or experience.

 Highly Desirable

Medical billing or coding experience. Reliability to perform work independently and is self-motivated. General understanding of legal processes relating to Probate, Bankruptcy, and other legal processes and documentation. High degree of attention to details. Fast and accurate data entry skills. Experience working with numbers. Experience working with Zoll, RescueNet billing software. Experience working with HIPAA, Medicare, and Medicaid regulations. Experience working with Medicare, Medicaid, or Commercial Insurance plans and Explanation of Benefits. Experience working with insurance eligibility verification through a clearinghouse or various other on-line websites.

Our Benefits Rank Among The Top In The Area

Our benefits rank among the top in the area Check it out Looking for a strong retirement? We have you covered as members of theFlorida Retirement System (FRS) with investment and pension options. We have deferred compensation programs and wellness centers to name a few perks.Check out these and more

Want to Learn More?

Please review the full classification description with the Physical/Mental Demands, Working Conditions, and Knowledge, Skills, and Abilities at the below link.

Medical Billing Specialist 1

Medical Billing Specialist 2

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