Medical Billing Specialist

4 weeks ago


Clearwater, United States Pinellas County FL Full time

Pinellas County FL is seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for reviewing, processing, and researching specialized records with substantial financial impact in an automated office environment.

We are looking for a candidate that can help oversee the Emergency Medical Services (EMS) medical billing system with emphasis on ensuring funds due to the County are received from insurance companies, Medicare, Medicaid, or other involved agencies.

Key Responsibilities:

  • Research, verify, update, and confirm the accuracy of information in the medical billing system and the Sunstar Membership Program.
  • Process medical billing claims.
  • Review medical cases to determine if some or all expenses should be billed to Medicare, Medicaid, insurance companies, or other agencies and corresponds and follows through with agencies to ensure funds are collected.
  • Assist in facilitating legal, STAT, and records requests from patients, their representatives, and insurance agencies.
  • Coordinate closely with vendors to facilitate the accurate processing of claims.
  • Assist with patient service walk-ins.
  • Interpret medical information provided on run reports and applies appropriate medical coding.
  • Process credit card payments via mail and/or by phone.
  • Process both cash and check payments received via mail or walk in customers and issues receipts as necessary.
  • Prepare reports and performs special projects as required.
  • May audit, review, and process accounts and may perform complex case related functions.
  • May conduct investigations and audits to resolve problems from misapplied funds or dormant accounts.
  • May assist and fill in for supervisory level positions by resolving staff or customer problems and scheduling, assigning, and prioritizing duties to employees to ensure workload is accomplished.
  • May also perform a variety of tasks related to an automated office environment.

Requirements:

  • Proficiency with Microsoft Windows, Word, Excel, and Adobe Acrobat.
  • Proficiency with working with various automated software applications.
  • Ability to independently work a hybrid schedule after training is completed.
  • Assignment to work a variety of customer service and administrative tasks including compulsory work periods in special, emergency, and/or disaster situations.

Preferred Qualifications:

  • Three years' experience in medical billing, claim analysis, denial review, or secondary billing workflow functions; or
  • An equivalent combination of education, training, and/or experience.

Why Work for Pinellas County FL?

We offer a competitive salary and benefits package, including a strong retirement plan and wellness programs.

Apply today to join our team and take the first step towards a rewarding career in medical billing



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