Accounts Receivable Specialist

2 weeks ago


Brandon, Florida, United States Suncoast Community Health Centers Inc. Full time
Job Overview

POSITION TITLE: Billing Specialist
FLSA: Non-Exempt


ESSENTIAL QUALIFICATIONS:

  • High School Diploma or GED.
  • At least two years of experience in a billing role within a healthcare setting.
  • Familiarity with accounts receivable processes.
  • Strong interpersonal skills with experience in public interaction.
  • Proficient in insurance claims processing, billing, coding, and the reimbursement cycle.
  • In-depth knowledge of Medicaid, Medicare, County, and Private Insurance protocols.
  • Experience with eClinical Works practice management software is a plus.
  • Effective verbal and written communication skills.
  • Able to collaborate effectively with colleagues.

KEY RESPONSIBILITIES:

  • Enter claims data accurately.
  • Process claims for Medicare, Medicaid, HCHCP, and various Third-Party payers.
  • Manage follow-ups and revisions for claims, including denials and resubmissions.
  • Post Insurance Remittance Vouchers efficiently.
  • Assist patients with inquiries regarding their claims.
  • Review claims that are overdue by more than ninety days.
  • Oversee daily billing activities and delegate tasks within the department as necessary.
  • Ensure timely posting of remittances at the end of each month.
  • Provide training for new hires on the Revenue Cycle, including insurance verification, claims processing, unposted payments, and account inquiries.
  • Conduct re-training and staff development as required.
  • Create and maintain up-to-date training materials.
  • Align training with competency standards and perform evaluations at designated intervals.
  • Document training activities within the Relias Learning Management System.
  • Local travel may be necessary.
  • Perform additional duties as assigned.

SUPERVISORY ROLE:

  • No supervisory responsibilities.
Job Posted by Suncoast Community Health Centers Inc.

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