Insurance Claims Processor
2 weeks ago
The Visiting Nurse Association of Florida is a Service-Driven organization that prides itself in Excellence. We seek Motivating professionals who will join our Committed team in our organization.
**Job Description:**
The Commercial Insurance Biller is responsible for submitting medical claims and identifying and collecting balances from third-party carriers. This role involves submitting charges, following up on charges, gathering and disseminating information relating to billing and reimbursement. The successful candidate will also be responsible for maintaining all patient accounts from billing stages to collections.
**Key Responsibilities:**
- Submit medical claims and collect balances from third-party carriers.
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
- Work with insurance carriers' payment regulations, including various reimbursement schemes, coinsurance, and deductibles, and contractual adjustments.
- Maintain accurate and up-to-date patient accounts from billing stages to collections.
**Requirements:**
- 1-2+ years of experience working in direct claim collections in medical billing.
- Familiarity with ICD-10, HCPC, and CPT-4 coding modifiers.
- Working knowledge of insurance carriers' payment regulations.
- Knowledge of Medicare RCD procedures and CMS, AHCA Compliance.
**Benefits:**
- Competitive Pay
- Extensive Benefits
- Health Insurance
- Dental / Vision Insurance
- Company Paid Life Insurance
- Paid Time Off
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