Billing Specialist

1 week ago

Doral, Florida, United States North Coast Medical Supply LLC Full time
About Our Company

At Advanced Diabetes Supply, we're dedicated to creating a knowledgeable, reliable, and superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has propelled us to a national leader in the industry.

The Position

We're seeking a skilled Billing Specialist to join our team. As a key member of our Insurance & Billing leadership team, you'll be responsible for obtaining pre-certification and pre-authorizations for DME procedure codes by completing the authorization process with commercial payers.

Essential Functions
  • Initiates Prior Authorization submissions and completes all follow-ups for all insurance payors, including Medicare Advantage, Medicaid's, HMO, PPO, and Commercial.
  • Compiles pre-certification information to submit prior authorization requests via outbound phone calls and/or web-based sites.
  • Performs regular follow-up calls with insurance companies to check the status of prior authorization requests and logs approval in the database.
  • Conducts outbound and/or inbound calls to patients, doctor's offices, and insurance companies as necessary or required to complete tasks.
  • Ensures proper documentation is received and recorded before processing additional supplies to patients, per compliance guidelines.
  • Maintains accurate entry and update of changes as requested by physicians and/or patients.
  • Maintains working knowledge of billing guidelines and resources for Medicare and Private Insurances.
  • Recognizes and reviews billed orders to effectively request authorization for upcoming refills.
  • Researches, follows up, and resolves all open/pending Authorizations in a timely manner.
  • Develops and maintains knowledge of all products and services offered by the company.
  • Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
  • Maintains accurate and detailed notes in the company system.
  • Adapts quickly to frequent process changes and improvements.
  • Is reliable, engaged, and provides feedback as to improve processes and policies.
  • Attends all department, team, and company meetings as required.
  • Appropriately routes incoming calls when necessary.
  • Meets patient service quality standards.
  • Embraces and exemplifies ADS core values:
    • We grow together
    • We care
    • We obsess over the customer experience
    • We commit
    • We WOW
Requirements
  • High School diploma or equivalent
  • Knowledge of insurance verification and/or authorization, billing, and processing claims
  • Basic knowledge of billing guidelines and resources for Medicare and Private insurances
  • Basic knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices
  • Proficiency in basic math and business calculations
  • Working knowledge of computer/data entry with the ability to learn new systems
  • Basic level of MS Office proficiency
Competencies
  • Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations
  • Ability to work well in a team environment that promotes inclusiveness and communication among team members
  • Effective interpersonal skills
  • Clear diction and knowledge of the English language, both written and verbal
  • Detail oriented, highly organized; able to work at a fast, productive pace
  • Service-orientation and aptitude to resolve insurance and/or patient matters
  • Self-directed accountability and reliability
  • Cultural competence
Physical Demands

The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.

While performing the responsibilities of the job, the employee is required to remain in a stationary position most of the time (stand or sit). While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk, and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

Other Requirements
  • Candidates must successfully pass a background check.
  • Candidates must be able to provide proof of eligibility to work in the United States.
Pay Range and Compensation Package

Pay ranges may vary depending on location. Actual compensation depends on education, experience, and relevant skills. In addition, benefits include:

  • Health, Dental & Vision options
  • FSA and HSA plan with Employer Contribution
  • Employer paid EAP
  • 401k with 4% Company Match
  • Discretionary Profit-Sharing Plan
  • Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday
  • On-Site Gym
  • In-house Training Programs
  • A fun culture in a fast-growing organization
Equal Opportunity Statement

Advanced Diabetes Supply provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

  • Accounts Receivable Specialist II

    2 weeks ago

    Doral, Florida, United States Advanced Diabetes Supply Full time

    About the PositionWe are seeking a highly skilled and detail-oriented Accounts Receivable Specialist II to join our team at Advanced Diabetes Supply. As a key member of our AR team, you will be responsible for processing insurance claims and billing, ensuring timely and accurate payment from our customers.Key ResponsibilitiesProcess insurance claims,...

  • Cash Posting Specialist

    2 weeks ago

    Doral, Florida, United States Advanced Diabetes Supply Full time

    About Our CompanyAdvanced Diabetes Supply is a leading provider of diabetes supplies, committed to delivering exceptional service and innovative solutions. Our team is dedicated to creating a positive work environment, where collaboration and excellence thrive.The PositionWe are seeking a highly organized and detail-oriented Cash Posting Specialist to join...

  • Accounts Receivable Specialist

    1 week ago

    Doral, Florida, United States Harmony Plus Inc. Full time

    Job Profile:The Accounts Receivable Specialist is a crucial role within Harmony Plus Inc., responsible for overseeing all activities related to the company's accounts receivable. This position plays a vital part in ensuring adequate cash flow, minimizing the risk of bad debts, and maintaining positive relationships with clients.Key Responsibilities:Process...

  • Cash Posting Specialist

    2 weeks ago

    Doral, Florida, United States Advanced Diabetes Supply Full time

    About Our CompanyAdvanced Diabetes Supply is a leading provider of diabetes supplies, committed to delivering exceptional service and innovative solutions. Our team is dedicated to creating a positive work environment, where employees can grow and thrive.The PositionWe are seeking a highly organized and detail-oriented Cash Posting Specialist to join our...

  • Accounting Supervisor

    4 weeks ago

    Doral, Florida, United States Starboard Cruise Services Full time

    Job Title: Senior Accountant - AR and Voyage ReconciliationAt Starboard Cruise Services, we are seeking a highly skilled Senior Accountant to join our team as an AR and Voyage Reconciliation Supervisor. This role is responsible for ensuring the accuracy and timeliness of sales postings, voyage reconciliations, and accounts receivable processes.Key...

  • Medical Equipment Delivery Specialist

    4 weeks ago

    Doral, Florida, United States Agiliti Health, Inc. Full time

    Job SummaryWe are seeking a highly skilled Medical Equipment Delivery and Maintenance Professional to join our team at Agiliti Health, Inc. As a key member of our team, you will be responsible for delivering and maintaining medical equipment to healthcare facilities across the region.Key ResponsibilitiesDeliver and retrieve medical equipment to and from...

  • Accounts Payables/Accounts Receivables Specialist

    2 weeks ago

    Doral, Florida, United States SNI Financial Full time

    Accounts Payables/Accounts Receivables ProfessionalWe are seeking a skilled Accounts Payables/Accounts Receivables professional to join our team at SNI Financial. The ideal candidate will have a solid understanding of basic bookkeeping and accounting principles, as well as experience with financial software such as QuickBooks.Key Responsibilities:Analyze...

  • Debt Recovery Specialist

    3 weeks ago

    Doral, Florida, United States MSH Full time

    {"Job Title": "Debt Collector", "Job Overview": "We are seeking a highly motivated and customer-focused individual to join our team as a Debt Collector. The ideal candidate will be responsible for managing overdue accounts, contacting clients to settle debts, and ensuring timely payments while maintaining professionalism and compliance with regulatory...

  • Newborn Hearing Screen Specialist

    4 weeks ago

    Doral, Florida, United States Schneider Full time

    About the RoleWe are seeking a skilled Newborn Hearing Screen Technician to join our team at Pediatrix Medical Group. As a key member of our team, you will play a vital role in conducting newborn hearing screens and educating parents about the importance of this critical process.ResponsibilitiesConduct newborn hearing screens in a hospital setting, utilizing...

  • Accounts Payable and Receivable Specialist

    2 weeks ago

    Doral, Florida, United States SNI Companies Full time

    Job Title: Accounts Payables/Receivables ClerkWe are seeking a highly skilled and detail-oriented Accounts Payables/Receivables Clerk to join our team at SNI Companies. As an Accounts Payables/Receivables Clerk, you will be responsible for managing the financial transactions of our company, ensuring timely and accurate payments to vendors and customers.Key...

  • Accounts Payables/Accounts Receivables Specialist

    2 weeks ago

    Doral, Florida, United States SNI Financial Full time

    Accounts Payables/Accounts Receivables ProfessionalWe are seeking a highly skilled Accounts Payables/Accounts Receivables professional to join our team at SNI Financial. As a key member of our financial operations team, you will be responsible for managing the entire accounts payable and accounts receivable process, ensuring timely and accurate payment and...

  • Debt Recovery Specialist

    3 weeks ago

    Doral, Florida, United States MSH Full time

    Job Title:Temporary Debt Collection RepresentativeLocation:Doral, FLContract Duration:4 MonthsJob Type:Full-Time, Temporary ContractJob Overview:We are seeking a highly motivated and customer-focused individual to join our team as a Temporary Debt Collection Representative. This is a temporary 4-month contract with the possibility of extension based on...

  • Credit Balance and Refund Specialist

    3 weeks ago

    Doral, Florida, United States Advanced Diabetes Supply Full time

    About Our CompanyAdvanced Diabetes Supply is a leading provider of diabetes supplies, committed to delivering exceptional service and innovative solutions to our customers. Our team is dedicated to creating a positive work environment that fosters growth, collaboration, and excellence.About The PositionWe are seeking a highly skilled Credit Balance and...

  • Credit Balance and Refund Specialist

    2 weeks ago

    Doral, Florida, United States Advanced Diabetes Supply Full time

    About the PositionHours: 8:00 AM to 4:30 PM ET, Monday to Friday (HYBRID)Location: Doral, FLJob Summary: We are seeking a highly skilled Credit Balance and Refund Specialist to join our team at Advanced Diabetes Supply. As a key member of our Revenue Cycle team, you will be responsible for resolving credit balance accounts for third-party payers and patients...

  • Credit Balance and Refund Specialist

    3 days ago

    Doral, Florida, United States Advanced Diabetes Supply Full time

    About the PositionHours: 8:00 AM to 4:30 PM ET, Monday to Friday (HYBRID)Location: Doral, FLThe Credit Balance and Refund Specialist plays a critical role in resolving credit balance accounts for third-party payers and patients. This position requires a strong understanding of payor requirements, contracts, and claims processing to maintain accuracy and...

  • Credit Balance and Refund Specialist

    2 weeks ago

    Doral, Florida, United States Advanced Diabetes Supply Full time

    About the PositionHours: 8:00 AM to 4:30 PM ET, Monday to Friday (HYBRID)Location: Doral, FLJob Summary: We are seeking a highly skilled Credit Balance and Refund Specialist to join our team at Advanced Diabetes Supply. As a key member of our Revenue Cycle team, you will be responsible for resolving credit balance accounts for third-party payers and patients...

  • Credit Balance and Refund Specialist

    1 week ago

    Doral, Florida, United States Advanced Diabetes Supply Full time

    About Our CompanyAt Advanced Diabetes Supply, we're dedicated to creating a knowledgeable, reliable, and superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has propelled us to a national leader in the industry. We strive to maintain a casual, fun environment while working hard to provide a positive work...

  • Debt Recovery Specialist

    2 weeks ago

    Doral, Florida, United States MSH Full time

    Job Title: Temporary Debt Collection RepresentativeLocation: Doral, FLContract Duration: 4 MonthsJob Type: Full-Time, Temporary ContractJob Overview: We are seeking a highly motivated and customer-focused professional to manage overdue accounts, contact clients to settle debts, and ensure timely payments while maintaining professionalism and compliance with...

  • Administrative Support Specialist

    5 days ago

    Doral, Florida, United States DHL Global Forwarding Full time

    Job Title: Administrative AssistantLocation: Miami, FLDHL Global Forwarding is a leading logistics provider with operations in over 220 countries. We manage the flow of goods and information across a customer's global supply chain utilizing air/ocean/ground transportation, customs brokerage services, and dedicated warehousing/distribution centers.Role...

  • Administrative Support Specialist

    5 days ago

    Doral, Florida, United States DHL Global Forwarding Full time

    Job Title: Administrative AssistantLocation: Miami, FLDHL Global Forwarding is a leading logistics provider with operations in over 220 countries. We are part of Deutsche Post DHL, a global company with a strong commitment to excellence and customer satisfaction.Job Summary:We are seeking an experienced Administrative Assistant to support our Americas...