Medical Billing and Collections Specialist

4 weeks ago


Lutz, Florida, United States MyCare Medical Group Full time
Job Description

Job Summary

The Medical Billing and Collections Specialist's purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer's accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment on medical supply orders.

Key Responsibilities:

  • Generate timely billing of assigned payers.
  • Ensure claims are received and processed by payers.
  • Review A/R balances to ensure timely and accurate payments are received.
  • Maintain current and accurate computer data, including documentation of all account activity performed in A/R systems.
  • Bill all co-insurance accounts per payer-specific guidelines.
  • Complete cash logs as required.
  • Review and understand correspondence received from third-party payers, including remittance advices, Explanation of Benefits, denial letters, etc.
  • Receive payment denials and investigate the reason and rectify the situation with the payer or patient.
  • Receive inbound and place outbound calls from and to customers, Medicare, Medicaid, and Commercial insurance providers regarding patient accounts.
  • Provide written correspondence to audit requests, including investigation and obtaining of appropriate documentation to be attached to response.
  • Document the status of billing and payment process in patient accounts for future follow-up and keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer.
  • Answer and follow up on calls from patients with billing questions, complete all end-of-month reports as requested, directed, or assigned, and complete all internal system service ticket requests as assigned.
  • Work miscellaneous projects and tasks on an as-needed basis.

Requirements:

  • Education and Work Experience:
    • Minimum of five (5) years of medical insurance/healthcare billing and collections experience with a deep understanding of medical billing rules and regulations.
    • Thorough understanding of medical billing, collections, and payment posting, revenue cycle, third-party payers, Medicare; Medicare Advantage, strong knowledge of state and Federal payer regulations.
    • Minimum five years of direct supervision of 12 or more staff.
    • Well-versed in CPT and ICD10 codes and procedural modifiers, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes.
    • Strong leadership, team development, and business skills.
    • Solid understanding of billing software and electronic medical records (EMR) eCW experience preferred.
  • Certificates and Licenses:
    • Valid Driver License.
    • Certified Coder a plus.
  • Skills:
    • Computer Literacy.
    • Customer Service and Relations.
    • Diplomacy.
    • Math Aptitude.
    • Oral Communication.
    • Organizational Management.
    • Planning.
    • Time Management.
    • Written Communication.

Benefits:

  • Comprehensive benefits package, including Health, Vision, Dental, and Life insurances.
  • PTO Accrual and Holidays.

  • Collection Specialist

    4 weeks ago


    Lutz, Florida, United States JMI Resource Full time

    Collection SpecialistWe are seeking a detail-oriented Collection Specialist to assist in managing and collecting outstanding accounts receivable for clients. This role is ideal for someone looking to develop skills in communication, customer service, and account management.Key Responsibilities:Contact customers via phone and letters to collect on outstanding...


  • Lutz, Florida, United States MyCare Medical Group Full time

    Job Title: Credentialing SpecialistMyCare Medical Group is seeking a highly organized and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for ensuring that all medical providers are properly credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities.Key...


  • Lutz, Florida, United States MyCare Medical Group Full time

    Job SummaryWe are seeking a highly skilled Credentialing Specialist to join our team at MyCare Medical Group. The successful candidate will be responsible for ensuring that all medical providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities.Key ResponsibilitiesProcess initial credentialing and...


  • Lutz, Florida, United States Privia Medical Group Full time

    We are seeking a highly skilled Women\u2019s Health Specialist to join our private practice in Land O\u2019 Lakes, FL. The ideal candidate will have excellent clinical skills and a passion for building relationships with patients.Key Responsibilities:Provide high-quality patient care in a well-established private practiceWork alongside board-certified...

  • Medical Assistant

    4 weeks ago


    Lutz, Florida, United States UnitedHealth Group Full time

    As a Medical Assistant at UnitedHealth Group, you will play a vital role in delivering high-quality patient care and supporting our clinical teams. Your responsibilities will include assisting physicians and nursing personnel with injections, EKGs, phlebotomy, and other patient care procedures. You will also maintain established quality control standards,...


  • Lutz, Florida, United States Ierna's Heating, Cooling and Plumbing Full time

    Elite HVAC Installer OpportunityWe are seeking a highly skilled and experienced HVAC Installer Helper to join our team at Ierna's Heating, Cooling and Plumbing. As a dynamic and rapidly-growing HVAC Installation & Service Company, we have been recognized as one of the best places to work in Delaware and Pennsylvania.As a Top Notch Installer, you will have...


  • Lutz, Florida, United States Next Move Healthcare Full time

    Next Move Healthcare is seeking a skilled Radiologic Technologist to fill a CT Scan Specialist role in a dynamic healthcare environment.Job DetailsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalDuration: 13 weeksHours: 40 hours per weekShift: 8 hours, nightsEmployment Type: TravelThe ideal candidate will possess excellent technical skills...


  • Lutz, Florida, United States BayCare Health System Full time

    Job SummaryBayCare Health System is seeking a Medical Assistant or LPN to join our team. As a Medical Assistant or LPN, you will provide exceptional patient care and support to our healthcare team.Key ResponsibilitiesAssist providers with patient examination, procedures, and documentationPrepare patient histories, routine lab procedures, and specimens for...


  • Lutz, Florida, United States Heartland Dental and Supported Offices Full time

    Job DetailsReq ID: 96463Supported Practice: Lake Park DentalCategory: Business AssistantLocation: Lutz, FLYears of Experience: 1 yearPosition Summary:Dental Front Desk Assistant, Lutz FLLake Park Dental, Lutz FL is seeking a Business Assistant to support our team. Must have 1 yr or more of Dental Front Desk experience.Ideal candidate would be bilingual...


  • Lutz, Florida, United States St. Luke's Cataract and Laser Institute Full time

    Job SummaryWe are seeking a skilled and dedicated CRNA to join our team at St. Luke's Cataract & Laser Institute. As a CRNA, you will play a vital role in providing high-quality patient care and contributing to the success of our organization.Key ResponsibilitiesProvide anesthesia care to patients undergoing surgeryConduct pre-anesthesia assessments and...

  • Nurse Care Specialist

    3 weeks ago


    Lutz, Florida, United States 5 Star Cares Full time

    Make a Difference in the Lives of Our PatientsAt 5 Star Cares, we're seeking a dedicated and compassionate Nurse Care Specialist to join our team. As a Staff Nurse LPN/RN working day shifts in Lutz, you'll have the opportunity to provide personalized care to patients in a clean and comfortable home environment. Our 1:1 patient ratio ensures that you can...

  • Nurse Specialist

    4 weeks ago


    Lutz, Florida, United States BayCare Health System Full time

    Job Summary:We are seeking a skilled Registered Nurse to join our Medical Surgical Neurology unit at BayCare Health System. As a Registered Nurse, you will be responsible for providing high-quality patient care, working independently to care for a group of patients, and collaborating with inter-disciplinary care providers to develop and implement plans of...


  • Lutz, Florida, United States Ierna's Heating, Cooling and Plumbing Full time

    h3Job Description/h3Job Descriptionbrbrh4Key Responsibilities:/h4brulliLead and manage installation crews to ensure excellence on each job./liliMinimum of 2 years' experience running an install crew required./li/ulbrbrh4What We Offer:/h4brulliOvertime available/liliPaid Time Off/liliFully stocked warehouse with parts runners/liliNew clean and fully stocked...

  • Dietary Aide

    4 weeks ago


    Lutz, Florida, United States PruittHealth Full time

    Job SummaryWe are seeking a highly skilled and dedicated Dietary Aide to join our team at PruittHealth. As a Dietary Aide, you will play a vital role in ensuring the health and well-being of our residents by assisting with food preparation, serving, and maintaining a clean and safe food service environment.Key ResponsibilitiesAssist with food preparation,...

  • Nurse Specialist

    4 weeks ago


    Lutz, Florida, United States Lakes at Lutz Rehabilitation Center Full time

    Floor Nurse Role Lakes at Lutz Rehabilitation Center is seeking a dedicated and compassionate Floor Nurse to deliver high-quality nursing care to our residents. As a key member of our healthcare team, you will be responsible for administering medications and treatments, monitoring health status, and collaborating with the team to develop personalized care...


  • Lutz, Florida, United States K.A. Recruiting Full time

    Job Summary:As a Flow Cytometry Technologist, you will perform clinical laboratory procedures, examinations, and other tests pursuant to established protocols. This includes maintaining equipment and records, as well as performing quality assurance activities related to examination performance. The ideal candidate will have a Bachelor's Degree in Medical...


  • Lutz, Florida, United States K.A. Recruiting Full time

    Job Summary:Seeking a skilled Flow Cytometry Technologist to join our team in a permanent, full-time position. As a key member of our clinical laboratory team, you will be responsible for performing complex laboratory procedures, examinations, and tests in accordance with established protocols. This role requires a strong foundation in medical technology and...

  • Nurse Specialist

    3 weeks ago


    Lutz, Florida, United States BayCare Health System Full time

    Position Overview:We are seeking a skilled Registered Nurse to join our Medical Surgical Neurology unit at BayCare Health System. The ideal candidate will have a strong background in nursing and be able to work independently to care for patients.Responsibilities:* Provide high-quality patient care using the nursing process and clinical standards* Delegate...


  • Lutz, Florida, United States K.A. Recruiting Full time

    Seeking a skilled Flow Cytometry Technologist to join our team at a top facility in the Lutz, Florida area. Job Summary: Perform clinical laboratory procedures, examinations, and tests in accordance with established protocols, maintaining equipment and records, and conducting quality assurance activities that require independent judgment and responsibility....

  • Nurse Care Specialist

    3 weeks ago


    Lutz, Florida, United States 5 STAR CARES Full time

    Deliver Exceptional Patient CareAs a skilled nurse with 5 Star Cares, you will have the opportunity to provide personalized, one-on-one patient care in the comfort of their homes. This unique setting allows you to focus on a single patient at a time, fostering meaningful connections and delivering exceptional, high-quality care.A Stress-Free Work...