Medical Billing Customer Service Representative

3 weeks ago

Sarasota, United States ATLANTIC COVE MEDICAL GROUP LLC Full time
Job DescriptionJob Description

Location: Sarasota, FL or Port Charlotte, FL

Job Summary: As a Billing Customer Service Representative at Atlantic Cove Medical Group, you will play a crucial role in ensuring the accuracy and efficiency of our medical billing processes while providing top-notch customer service. You will be responsible for determining appropriate charges based on services rendered, handling patient accounts, and addressing billing inquiries in a professional and compassionate manner. This position requires a detail-oriented individual with strong communication skills and a deep understanding of medical billing practices.

Responsibilities:

  • Patient Accounting System: Perform all required duties within the patient accounting system, ensuring accuracy and efficiency.
  • Charge Determination: Accurately determine appropriate charges based on services provided to ensure proper billing.
  • Customer Service: Serve as a primary source for customer service assistance, ensuring customer satisfaction.
  • Call Center Operations: Handle a high volume of incoming customer service calls in a call-center like environment.
  • Claims Review: Analyze explanations of benefits from third-party payers to verify correct payment and identify any denials that can be re-billed.
  • Report Management: Maintain and analyze reports to ensure timely submission of claims.
  • Problem Resolution: Identify problem accounts requiring further action and provide necessary information to insurance carriers or patients regarding their accounts.
  • Patient Assistance: Assist patients with billing inquiries and problems, providing clear and helpful information.
  • Supervisor Notification: Alert the supervisor of any ongoing billing issues or concerns.
  • Documentation Maintenance: Keep organized files of all relevant documentation, including charge slips, explanations of benefits, and patient information.
  • Report Preparation: Prepare and distribute reports as needed.
  • Collections Referral: Refer delinquent accounts to collections in accordance with company policy.
  • Additional Duties: Perform other related duties as assigned or requested.

Position Details:

  • This job posting is for 1 of 2 available positions. 
  • Salary Range: $21.50 – $25.00 Hourly

Qualifications:

  • Education:

    • Required: High school diploma or equivalent.
    • Preferred:
      • Certificate or Diploma in Medical Billing and Coding from an accredited institution (6 months to 1 year program).
      • Associate degree in Health Information Technology, Medical Billing and Coding, or a related field (2-year program).

  • Certifications (Highly Recommended):

    • Certified Professional Biller (CPB) from the American Academy of Professional Coders (AAPC).
    • Certified Billing and Coding Specialist (CBCS) from the National Healthcareer Association (NHA).
    • Certified Medical Reimbursement Specialist (CMRS) from the American Medical Billing Association (AMBA).
    • Certified Professional Coder (CPC) from AAPC.
  • Experience: At least two years of recent professional medical billing collection experience and two years of customer service experience, or an equivalent combination of education and experience.
  • Insurance Knowledge: Working experience with Medi-Cal, Medicare, HMO, and PPO insurances.
  • Technical Skills: Experience using online payer sites to check claim status, denials, and eligibility.
  • Software Proficiency: Knowledge of MS Word and MS Excel.
  • Coding Knowledge: Familiarity with CPT, ICD-10, and HCPC codes.
  • Multitasking Ability: Must be an effective multi-tasker to meet daily production and quality standards.
  • Communication Skills: Excellent verbal and written communication skills.
  • Critical Thinking: Strong critical thinking and problem-solving skills.
  • Active Listening: Proficient in active listening to understand and address patient and customer needs effectively.

Atlantic Cove Medical Group is a trusted provider of exceptional, compassionate patient care with a strong presence in the community. Our team comprises outstanding professionals committed to enhancing patient care and delivering quality healthcare services. If you are seeking greater challenges and fulfillment in your career, join us at Atlantic Cove Medical Group.

Apply Today

Atlantic Cove Medical Group is an equal-opportunity employer. We welcome and encourage diversity in the workplace.

Company DescriptionAtlantic Cove Medical Group is dedicated to enhancing the health and well-being of our patients. We are a comprehensive medical organization, integrating cutting-edge primary and interventional care, biomedical research, health data analytics, technology, and pharmaceutical expertise. This vertical integration empowers our patients to access value-based medical care all under one roof. Our services encompass chronic disease management, medication management, wound care, screening tests, weight loss, hormone replacement therapy, minor surgical procedures, biomedical research, home healthcare, telehealth, remote patient monitoring, cancer follow-up, and mental health management. At Atlantic Cove Medical Group, we are committed to providing comprehensive and personalized care to improve the lives of our patients.

Working for our medical practice offers a unique and rewarding experience for individuals passionate about healthcare. We are a patient-focused organization, known for our compassionate patient care. Our doctors come highly recommended, embodying a commitment to improving the lives of those we serve. As a growing clinic, we have the opportunity to make a significant impact on the community and shape people's lives positively. We pride ourselves on the integration of precision care, where every patient is treated with personalized attention, combined with cutting-edge research and technology. Joining our team means being part of a healthcare environment that values excellence, empathy, and innovation in equal measureCompany DescriptionAtlantic Cove Medical Group is dedicated to enhancing the health and well-being of our patients. We are a comprehensive medical organization, integrating cutting-edge primary and interventional care, biomedical research, health data analytics, technology, and pharmaceutical expertise. This vertical integration empowers our patients to access value-based medical care all under one roof. Our services encompass chronic disease management, medication management, wound care, screening tests, weight loss, hormone replacement therapy, minor surgical procedures, biomedical research, home healthcare, telehealth, remote patient monitoring, cancer follow-up, and mental health management. At Atlantic Cove Medical Group, we are committed to providing comprehensive and personalized care to improve the lives of our patients.\r
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Working for our medical practice offers a unique and rewarding experience for individuals passionate about healthcare. We are a patient-focused organization, known for our compassionate patient care. Our doctors come highly recommended, embodying a commitment to improving the lives of those we serve. As a growing clinic, we have the opportunity to make a significant impact on the community and shape people's lives positively. We pride ourselves on the integration of precision care, where every patient is treated with personalized attention, combined with cutting-edge research and technology. Joining our team means being part of a healthcare environment that values excellence, empathy, and innovation in equal measure

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