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Billing Specialist
Family Health Centers of SouthWest Florida
Fort Myers, FL (Onsite)
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
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
Recommended Skills
- Analytical
- Attention To Detail
- Billing
- Cpt Coding
- Claim Processing
- Communication
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Job ID: 2470146547
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