Medical Billing Specialist

7 days ago


Ocala, Florida, United States SCA Health Full time
Full-Time Medical Billing Specialist Position at SCA Health

We are seeking an experienced and detail-oriented medical billing specialist to join our team at SCA Health. As a Full-Time Medical Billing Specialist, you will play a critical role in ensuring accurate and timely submission of claims to insurance providers.

Responsibilities:

  • Accurately bill CPT Codes, implants, and supplies per the UBO's Billing Protocols.
  • Ability to accurately calculate implant, supply, and pharmaceutical implant mark-up and reimbursement.
  • Submitting accurate primary & secondary insurance claims to insurance providers following agency and payer guidelines.
  • Performing accurate Time of Billing adjustments for procedures, implants, and supplies based on the appropriate contract.
  • Knowledge of multiple insurance contracts, Medicare, and W/C Fee Schedule.
  • Daily reconciliation of charges posted (Daily Summary Report, Open Transaction Report, & Daily Posting Report) and uploading these documents to SharePoint.
  • Manages unbilled cases by providing ample notes in PAS and reporting to Business Office Manager on a weekly basis what is required to bill.
  • Verifies and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims, and gathers appropriate medical records to send with claims sent via mail.

Requirements:

  • High school diploma or GED certificate.
  • Possess basic knowledge of medical terminology.
  • Possess knowledge of health insurance billing.
  • Possess knowledge of typing, word processing, spreadsheet and computer billing systems.
  • Ability to handle confidential information.
  • Ability to work independently and as a self-starter with a high level of initiative.
  • Ability to multi-task.
  • Strives to be professional, courteous, helpful and cooperative.
  • Good computer and typing skills.
  • Good communication skills, strong emphasis on excellent customer service.

Benefits:

  • $19.00-$22.00/Hr. salary range.

About Us:

SCA Health represents a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge.



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