Medical Billing Specialist

4 days ago

Pinellas Park, Florida, United States Accounting Now Full time
Medical Billing and Collections Specialist

Accounting Now is seeking a highly skilled Medical Billing and Collections Specialist to join our team in St Petersburg, Florida.

Job Summary:

The Medical Billing and Collections Specialist will be responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.

Key Responsibilities:

  • Responsible for charge and payment entry within Electronic Health Record, coordinating and clarifying with clients/customers as needed.
  • Responsible for correcting, completing, and processing claims for all payer codes.
  • Analyze and interpret claims to ensure accurate submission to insurance companies.
  • Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and health insurance companies on unpaid insurance accounts identified through aging reports.
  • Able to identify and appeal claims if needed, and process appeals online or via paper submission.
  • Assist with billing audit-related information.
  • Attend customer meetings/workshops/ implementations as needed.
  • Ability to navigate commercial/customer payment platforms and/or portals.
  • Communicate daily with internal and external customers via phone calls and written communications.
  • Identify trends and carrier issues relating to billing and reimbursements, reporting findings to Team Lead and/or Supervisor.
  • Research, record findings, and communicate effectively with Manager to achieve optimum performance.
  • Pursue and participate in education to remain current with changes in the Healthcare industry.
  • Maintain HIPAA/PHI requirements.
  • Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives.
  • Demonstrate respect to all fellow employees to ensure a professional, responsible, and courteous environment.

Requirements:

  • Previous experience in a medical office setting and/or experience with an Electronic Medical Record is a plus.
  • Customer service driven.
  • Understanding of medical terminology and insurance laws/guidelines.
  • Excellent organization and time management skills, along with excellent oral and written communication skills.
  • Strong team player.
  • Ability to learn quickly, build and maintain long-term relationships, and work with minimal supervision.
  • Strong written and verbal communication skills; strong analytical, organizational, and time management skills required.

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