Billing Specialist

3 weeks ago


Fort Myers, United States Family Health Centers of Southwest Florida Full time

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Job Type

Full-time

Description

We are looking for a dependable, dedicated, and respectful person to join our team of Billing Specialists. Outstanding compensation including generous paid time off, 9 paid holidays, excellent health benefits, a company paid pension, multiple bonuses, and more

POSITION DESCRIPTION:

The Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients and works rejections.

DUTIES AND RESPONSIBILITIES:

* Submits claims to payers based on review of medical records and in accordance with Medicare, Medicaid, and Commercial insurance guidelines as well as FHCSWF policies and procedures.* Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.* Enters charges accurately and expeditiously to ensure proper records handling and fast payment.* Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.* Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber.* Initiates private pay collections after insurance cancellation, denial or other issue and answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc.* Performs self-pay patient billing.* Prepares and sends patient statements for charges not covered by insurance.* Other duties as assigned.

Requirements

KNOWLEDGE:

* Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment* Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage* Understanding of FQHC billing procedures and Sliding Fee Schedules a plus* EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system* Understand and adhere to all HIPAA guidelines* MS Office Suite (Excel proficiency)* Alpha-Numeric data entry

SKILLS AND ABILITIES:

* High School or Equivalent (Associates Degree preferred)* 2 Years Medical Billing experience* CMRS, CPB, or CPC credentials a plus* Attention to detail with strong documentation, analytic and problem-solving skills* Ability to multi-task in a fast-paced environment* Strong interpersonal written & verbal communication skill #J-18808-Ljbffr


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