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Accounts Receivable Collection Specialist - Healthcare

CenterWell Senior Primary Care

The Villages, FL

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JOB DETAILS
JOB TYPE
Full-time
SKILLS
Accounts Receivable, Affirmative Action, American Health Care Association (AHCA), Behavioral Health, Billing, Charter Schools, Claims Processing, Computer Programming, Computer Skills, Credit and Collections, Customer Support/Service, Establish Priorities, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Administration, Healthcare Providers, Healthcare Quality, High School Diploma, Home Care, Hospice Care, Insurance, Maintain Compliance, Medical Billing, Medical Records, Medicare, Microsoft Excel, Microsoft Outlook, Microsoft Product Family, Microsoft Word, Nursing, Pharmacy, Preventive Medicine, Primary Care, RSVP (Reservation Protocol), Regulations, Rehabilitation Act, Requirements Validation/Verification, Retail, Third-Party Payer, Time Management
LOCATION
The Villages, FL
POSTED
11 days ago
Become a part of our caring community


As a Billing Specialist, you will be responsible for ensuring that patient information is accurate and up to date, follow up on unpaid claims, resolve any discrepancies, and appeal denied claims to ensure that the healthcare provider is compensated for their services. Billing Specialists often communicate with patients to verify insurance details, inform them about their billing statements, and address any questions or concerns while ensuring compliance with HIPAA guidelines and other regulations.


Location: CenterWell Senior Primary Care office address: 6503 Powell Road, The Villages, FL 34785

Billing Specialist Role Overview:
  • Ensures all outstanding accounts receivable claims are followed up in a timely manner and appropriate actions are taken to resolve accounts and maximize collections.
  • Monitor and respond timely and accurately to calls or correspondence from insurance companies.
  • Submit pending and/or holding claims for your designated insurance group for all facilities within the appropriate time designated by the payer.
  • Utilize your Athena Claim Worklist to prioritize and effectively work all denied claims, including held claims in Athena due to insurance rejections of claim status daily to ensure timely claims processing.
  • Submit claim Reconsiderations, Appeals and/or corrected claims as needed.
  • Review all your assigned Athena cases and emails at least twice daily and respond to all within 24 hours with follow-up.
  • Follow up with 3rd party payers on claims not paid according to contract.
  • Submit secondary and/or paper claims for assigned payers as needed.
  • Complete End of Month Checklist within the designated time frame.
  • Provide exceptional customer service to patients by responding to their inquiries in a timely and professional manner.
     
Use your skills to make an impact


Additional Information
Required
  • High School graduate or equivalent
  • Proficient skill in computer programming and Microsoft products. Including Excel, Word, and Outlook

Preferred
  • Two years of experience and working knowledge in medical billing functions of third-party payer systems including Medicare and commercial insurance.
     
Billing Specialist working hours:
Monday to Friday
Scheduled 40 hours per week

**WORKING AT THIS SITE ALLOWS ELIGIBILITY FOR THE CHARTER SCHOOL PROGRAM**

** PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF or Word format) **

Hiring Event
Please bring your resume and join us:  
  • Friday, June 19th from 9:30 AM to 1:30 PM at CenterWell Administrative Office (6503 Powell Road, The Villages, FL 32163) – RSVP’s are encouraged through Eventbrite athttps://bit.ly/4eOCmnh
     
Benefits
CenterWell offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
Blue Cross and Blue Shield Health benefits
Dental and vision benefits
Matching Health Savings Account (HSA)
Life insurance and short-term & long-term disability
Paid time off, holidays, and jury duty pay
401(k) retirement savings plan with employer match
And much more


Scheduled Weekly Hours
40

#TVHMSC

Salary is commensurate with experience.

Note: A background screening will be required for candidates hired. For more information about the Background Screening Clearinghouse managed by the Agency for Health Care Administration (AHCA), go to https://info.flclearinghouse.com/

About Us


About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.
​
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Request an Accommodation
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact 

ada@humana.com

 for assistance.

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CenterWell Senior Primary Care