We have other current jobs related to this field that you can find below

  • Billing Specialist

    2 months ago

    Clearwater, United States eTeam Inc. Full time

    Duties and Responsibilities: Assures that all assigned reviews & company projects are completed timely and accurately according to the scope of work. Report any issues and or concerns timely to the Supervisor of the Centralized Billing Review team and or Manager of the Centralized Billing Review team. Contacts payors at times to discuss policy criteria...

  • Billing Specialist

    2 weeks ago

    Clearwater, United States Directions for Living Full time

    Job DescriptionJob DescriptionPay Rate: $18.26/ hour ($38,000 annually)We offer:Medical (100% employer paid for employees only), Dental, Vision, Life, Short Term and Long Term Disability.5 days of PTO11 Wellness Days- Including the week of Christmas off!10 Paid HolidaysDo you envision working for a dynamic, mission-driven organization which supports the...

  • 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...

  • Billing Review Specialist

    4 weeks ago

    Clearwater, United States Rose International Full time

    The Billing Review Specialist assures that all assigned reviews & company projects are completed timely and accurately according to the scope of work. Report any issues and or concerns timely to the Supervisor of the Centralized Billing Review team and or Manager of the Centralized Billing Review team.Qualifications: High School Diploma or...

  • Medical Billing Specialist 1 or 2

    2 months ago

    Clearwater, United States Pinellas County FL Full time

    Come work in a fast-paced high-energy office, utilizing your medical billing expertise. 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. This position is within the...

  • Healthcare Billing Coordinator

    15 hours ago

    Clearwater, United States Pinellas County FL Full time

    About Us: Pinellas County Ambulance Billing stands as a leading provider in the ambulance service sector, dedicated to excellence in billing practices. Our mission is to achieve national recognition as the foremost authority in ambulance billing. Position Overview: We are seeking a detail-oriented individual capable of executing intricate clerical and...

  • Healthcare Billing Coordinator

    16 hours ago

    Clearwater, United States Pinellas County FL Full time

    About Us: Pinellas County Ambulance Billing stands as a prominent provider in the ambulance sector across the nation, dedicated to delivering exceptional service as the exclusive ambulance provider for Pinellas County. Our goal is to achieve national recognition as the leading authority in ambulance billing. Role Overview: We are seeking a detail-oriented...

  • Healthcare Billing Coordinator

    6 days ago

    Clearwater, United States Pinellas County FL Full time

    About UsPinellas County Ambulance Billing stands as a prominent provider in the ambulance sector, recognized for our commitment to excellence in billing practices. Our goal is to achieve national recognition as the leading entity in ambulance billing services. If you excel in a fast-paced and dynamic environment, this role offers an opportunity to contribute...

  • Billing and Collections Specialist

    16 hours ago

    Clearwater, Florida, United States CCS Full time

    Overview:Are you seeking a meaningful career that positively impacts the patient community? At CCS, we are transforming at-home patient care through innovative chronic care management. We are in search of individuals who excel in a patient-focused, dynamic environment. If you possess strong listening skills, quick thinking, and problem-solving abilities, and...

  • Healthcare Billing Analyst 1 or 2

    6 days ago

    Clearwater, United States Pinellas County FL Full time

    Join a dynamic and energetic team where your expertise in medical billing will shine. Pinellas County Ambulance Billing stands as one of the premier ambulance service providers nationwide, dedicated to excellence in ambulance billing practices. This role is situated within the Program Services division of the Financial Services Department, a key...

  • Ambulance Billing Expert 1 or 2

    6 days ago

    Clearwater, United States Pinellas County FL Full time

    Join a dynamic and high-energy team, leveraging your expertise in medical billing. Pinellas County Ambulance Billing stands as one of the largest ambulance service providers in the nation, dedicated to achieving national recognition as the premier authority in ambulance billing. This role is situated within the Program Services sector of the Financial...

  • Healthcare Billing and Credentialing Coordinator

    6 days ago

    Clearwater, United States Clinical Professional Connections Full time

    Position Overview:We are looking for a dedicated full-time Accounts Receivable and Medical Billing Coordinator to join our team at Clinical Professional Connections.Key Responsibilities:- Gather and validate invoices to ensure all necessary documentation is in place before processing payments.- Maintain and manage accounts receivable records, ensuring that...

  • Revenue Cycle Specialist

    6 days ago

    Clearwater, Florida, United States Directions for Living Full time

    Position OverviewCompensation: $18.26 per hour ($38,000 annually)Our Benefits Include:Comprehensive Medical, Dental, Vision, Life Insurance, and both Short and Long Term Disability (100% employer funded for employees).5 Days of Paid Time Off (PTO)11 Wellness Days, including a full week off during the Christmas season.10 Paid Holidays throughout the year.Are...

  • Client Support Specialist

    4 days ago

    Clearwater, United States TridentCare Full time

    Join a team that makes a difference in patient's lives every day! MUST RESIDE IN THE TAMPA BAY AREA AND BE ABLE TO WORK FROM OUR CLEARWATER OFFICE LOCATION TridentCare is the leading mobile diagnostics company in the nation. We’re making a difference in lives of our patients every day! The Client Support Specialist (CSS) is part of the Problem Resolution...

  • Medical Claims Processing Specialist 1 or 2

    17 hours ago

    Clearwater, United States Pinellas County FL Full time

    Join a dynamic and high-energy team, leveraging your expertise in medical billing. Pinellas County Ambulance Billing stands as one of the largest ambulance service providers nationwide, dedicated to excellence in ambulance billing. This role is situated within the Program Services section of the Financial Services Division, part of the Safety and...

  • Client Support Specialist

    1 month ago

    Clearwater, United States TridentCare Full time

    Join a team that makes a difference in patient's lives every day! TridentCare is the leading mobile diagnostics company in the nation.We're making a difference in lives of our patients every day! The Client Support Specialist (CSS) is part of the Problem Resolution Team (PRT). The CSS position is a support role for the field sales organization (CSE, AE)....

  • Client Support Specialist

    6 days ago

    Clearwater, United States TridentCare Full time

    Join a team that makes a difference in patient's lives every day! MUST RESIDE IN THE TAMPA BAY AREA AND BE ABLE TO WORK FROM OUR CLEARWATER OFFICE LOCATION TridentCare is the leading mobile diagnostics company in the nation.We're making a difference in lives of our patients every day! The Client Support Specialist (CSS) is part of the Problem Resolution Team...

  • Business and Customer Support Specialist

    2 months ago

    Clearwater, United States Pinellas County FL Full time

    Business and Customer Support Specialist Classification Title:Business Support Specialist 2, C22 Location: 14 South Fort Harrison Avenue, Clearwater, FL Some Remote work after training Do you possess expertise working in a customer service environment dealing with setup and collection of accounts?We have the ideal opportunity waiting for...

  • Medical Biller

    2 months ago

    Clearwater, United States Clinical Professional Connections Full time

    Job DescriptionJob DescriptionSeeking a full time AR/Medical Billing and Credentialing Specialist.AR/Biller Gather and verify invoices for appropriate documentation prior to payment.Maintain accounts receivable records to ensure aging is up to date, credits and collections are applied, uncollectible amounts are accounted for, and miscellaneous differences...

  • Client Relations Specialist

    18 hours ago

    Clearwater, United States Craig Duncan Insurance Agency Inc Full time

    Client Relations Specialist - Craig Duncan Insurance Agency IncPosition OverviewWe are looking for a dedicated professional to join our dynamic team as a Client Relations Specialist. This role is ideal for an enthusiastic individual eager to contribute to our agency's growth through meaningful interactions and exceptional customer service. If you thrive in a...

Billing Specialist

1 month ago

Clearwater, United States Directions for Living Full time
Job DescriptionJob Description

The Billing Specialist participates in billing process and data entry design to insure billing and claim accuracy, regulatory compliance and maximum collection of revenue; works closely with the Billing Supervisor and responds to issues and concerns of the management team. The Billing Specialist I processes cash payment and posts payor remittances, and performs routine account receivables follow-up work. Work is performed under the general supervision of the Billing Supervisor and is reviewed primarily in terms of results obtained in claim submission timeliness and accuracy, and account receivables management. Work is subject to review through observation of efficiency, timeliness, effectiveness, accuracy and full regulatory compliance. The incumbent must function independently within policies and procedures.

The Billing Specialist I provides high quality information and support that enhances the overall quality of Directions For Living services, and creates positive interactions between staff, clients and other key stakeholders by insuring accurate and timely collection, processing and reporting of financial or compliance information.

DUTIES

  • PRIMARY FUNCTIONS
    • Submits paper and e-claims on a minimum weekly basis and as often as required or as directed by the Billing Supervisor or designee.
    • Works in conjunction with the Access Coordinator to ensure accurate posting of services for funded clients (Pinellas County, Eckerd, TANF, etc.)
    • Creates invoices necessary for invoicing and reporting of services.
    • Maintains all necessary tracking reports.
    • Mails client statements on a minimum quarterly basis, preferably on a monthly basis, or as often as required or as directed by the Billing Supervisor or designee.
    • Reports in a timely manner all client and insurance billing, statement, and payment and reimbursement irregularities, omissions and/or errors to the Billing Supervisor, Providers, and other stakeholders for corrective action.
    • Identifies areas of billing, remittance and cash posting, claims submission and statement generation, and accounts receivables process improvements and submits recommendations to the Billing Supervisor, Providers, reimbursement staff and other stakeholders.
    • Implements and monitors all aspects of billing and reimbursement corrections, modifications and additions on an as needed basis.
    • Maintains relevant claim, self-pay and remittance data in the billings systems.
    • Updates CMS1500 and/or 837 claim form and remittances whenever such data is updated by the AMA, CMS or any other regulatory agency.
    • Works with Billing Supervisor to produce and maintain agency and provider enrollment and credentialing data.
    • Perform quality review of all claims, client statements, remittance and collection transactions processed through the billing system.
    • Works under the direction of the Director and/or Billing Supervisor in maintaining coding integrity (CPT4, ICD9/10 and HCPCS) in all relevant data systems including making corrections on claims and client statements, as needed, and reporting errors to the stakeholders;
    • Periodically reviews claims and statement process as well as remittance and collection posting processes for all accounts with open balances.
    • Advises the department head of any and all client payment, reimbursement and accounts receivable follow-up issues.
    • Evaluates and resolves system problems as it relates to client accounts.
    • Under the direction of the Billing Supervisor, updates accounts to ensure compliance with Federal, State, County and Municipal rules and regulations.
    • Reviews, coordinates, and updates all payor and client billing methodologies to insure an accurate, timely and compliant billing processes.
    • Recommends and implements, upon approval by the Billing Supervisor, all Medicare and Medicaid changes to claim submission and client billing processes.
    • Prepares meaningful monthly client account and remittance utilization and A/R reports.
    • Demonstrates continuous effort to improve client billing, claims submission, remittance posting and accounts receivables operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer service.

QUALIFICATIONS

  • Formal Education:
    • Some college education preferred.
    • Certification: Billing and Coding certification strongly desired
  • Technical Skills
    • Proficient in Microsoft Excel, Word and Outlook.
    • Accurate keyboard / data entry skills
    • Legible handwriting, accurate spelling, punctuation, and grammar.
    • Basic computer literacy including Internet and Microsoft Office programs
    • Ability to easily learn new systems and programs
    • Communication and people skills
    • Must have a customer service approach and be able to deal with stakeholders assertively but respectfully when needed.
    • Must work well as a team member and be able to successfully integrate ideas from all sources into regular work requirements
    • To communicate clearly and distinctly in English both orally and in writing
    • Excellent organizational and time management skills.

EXPERIENCE & KNOWLEDGE

  • Experience:
    • Minimum of 1-2 years of direct experience with Medicare, Medicaid, HMO and Third Party billing and remittance processes, preferably in mental health.
    • Strong knowledge of coding and billing processes.
    • Experience with medical or clinical billing software.
  • Knowledge:
    • Strong knowledge of Florida Medicaid and the Medicare Part B programs in regard to billing, claim submissions, claims appeals, remittances, coding guidelines, statutes, rules and regulations.
    • Strong knowledge of EOB's, posting paper remits and ERA's (ANSI 835's) and payment posting.
    • Preferred knowledge of provider enrollment and credentialing process and requirements.
    • General office practices and procedures.
    • Alpha and numeric filing systems.
    • CPT, HCPCS and ICD-9/10CM coding terminology and usage and documentation requirements.