Medical Billing Specialist

1 week ago


Jacksonville, Florida, United States Jax Spine & Pain Centers Full time

About Jax Spine & Pain Centers

We are proud to be the leading providers of progressive interventional pain relief. Our team of board-certified physicians and medical staff are highly trained in all areas of diagnosis, treatment, and patient care.

Medical Billing Specialist

Job Summary

This position is responsible for providing excellent customer service while answering questions from patients, staff, and insurance companies. The Medical Billing Specialist will also have proper phone etiquette, computer skills, and the ability to multi-task and work well independently and as a team member in a fast-paced environment, collaborating effectively with all departments and cultivating a nurturing atmosphere of courtesy, compassion, respect, empathy, dignity, and optimism.

Job Duties

  • Timely follow-up of all claim denials.
  • Submits corrected claims in a timely manner.
  • Timely submission of appeals.
  • Responds to inquiries from the insurance company, patients, and providers.
  • Submits insurance/patient refunds in a timely manner.
  • Analytically examines accounts.
  • Identifies payer-specific trends.
  • Informs Management of any known issues.
  • Does part to prevent fraud and abuse.
  • Participates in educational activities, reviews coding, and billing updates.
  • Inform Management in a timely manner of any Medical Coverage Policy updates regarding your insurance carriers.
  • Sets up payment plans for patient balances.
  • Special projects as assigned.
  • Performs other duties as assigned.
  • Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Basic Qualifications

  • High school diploma or equivalent required.
  • 3 years of billing experience is required.
  • Good interpersonal and organizational skills.
  • Highly detail oriented with a critical degree of accuracy regarding data entry
  • Ability to analyze A/R Aging reports and prioritize work accordingly.
  • Knowledge of medical billing/collections practices, computer programs, business office.

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