BILLING COORDINATOR I

Sarasota Memorial Health Care

This position will review and process billing both electronic and manual claims as well as keeping updated with the ever-changing insurance demands and reviewing rebill requests.

Responsibilities include:

• Identifies and problem solves billing inaccuracies while keeping statistics of errors found and updating info in AM/PFM as needed.

• Ensures all claims are submitted both accurately and timely.

• Manually prepares all special handling claims as well as bill secondary insurance and print/request necessary attachments such as medical records and itemized.

• Calculates and posts allowances for Medicaid accounts and maternity package plans as well as adjusts off non-covered charges and others outlined by the individual insurance carriers.

• Verifies insurance eligibility for Medicaid and their HMO's while also searching for authorizations and specific provider numbers.

• Maintains knowledge and use of the SSI billing system as well as other related programs such as AM/PFM, AccessANYware, EQ Health, FEMMIS and Passport.

• Documents billing information and works closely with other related departments to ensure 'clean' claim submission.

• Responsible for keeping abreast of and complying with all managed care contracts and third-party billing regulations.

• Clears fatal edits on AM/PFM accounts to ensure "clean" claim submission and increasing the number of daily claims worked by each biller and increasing revenue reimbursement.

• Receives and responds to incoming calls and representative requests in a professional and timely fashion that promotes customer satisfaction.

• Works as a team member demonstrating time management skills and communicating new information or changes.

Required Qualifications

• Require a minimum of three (3) years of experience with PC-related software with strong analytical computer skills. A Bachelor’s degree can substitute for the required experience.

Preferred Qualifications

• Experience in processing health insurance claims.

• Ability to cross train within the department.

• Working knowledge of ICD-10 and CPT coding.

• Ability to type minimum of thirty (45) words per minute.

• Certified Patient Account Technician (CPAT) or Certified Revenue Cycle Specialist (CRCS).

• Ability to use a 10 key adding machine both quickly and accurately.

• Communicate effectively with patients and the public demonstrating a high level of professionalism.

• Demonstrated interpersonal skills including the ability to handle difficult situations diplomatically.

• Computer literacy with windows based programs.

• Effective oral and written communication skills.

Mandatory Education

• HS EQ: High School Diploma, GED or Certificate

The benefits of being the best.

Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:

Total Rewards Package:

· Paid Time Off (start earning PTO on day one of employment)

· Tuition Reimbursement

· Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees

· Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars

· Life Insurance

· Disability Insurance

· Retirement Savings Plan: 403b

· Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!

· Bereavement Leave

· Free Parking

· On Campus Dining w/ a 10% discount

· Credit Union w/ teller machines on campus

· Direct Deposit

· Free Wellness Screening

· Free confidential counseling services

· Employee Discount Programs

· Recognition Programs

· Referral Programs

· Tremendous growth opportunities for hard workers!

About Us:

Reputation. Community. Impact. Growth.

Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.

Sarasota Memorial Health Care System was recently recognized again by ranking #1 Hospital in the Region by the U.S. News' Best Hospital report by scoring a Perfect 10! Not only that, but SMH was also designated as a national "standout" hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000 hospitals. Our system has also earned Magnet recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades: Gallup Great Workplace 2018; recipient of an "A" grade for Patient Safety.

Equal Opportunity Employer.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person