Excellent opportunity for an experienced and motivated medical biller and accounts receivable specialist to join our growing billing team. This position is responsible for working insurance account receivables and patient collections. You will be working in a team environment. Excellent opportunity for the right person.

Job Description

• Answer all insurance telephone inquiries pertaining to accounts.
• Review all EOB’s and review accounts for insurance or patient follow-up.
• Monitor unpaid balances, denials on insurance claims and account delinquency.
• Identify and bill secondary or tertiary claims.
• Follow up and monitor insurance company rejections and unpaid claims within standard billing cycle time frame.
• Check all insurance payments for accuracy and compliance with contract discounts and call insurance company for any discrepancies.
• Work in conjunction with other staff members to promote team effort.
• Consult practice manager, team members and appropriate resources to solve collection questions and issues.
• Function as an intermediary between healthcare providers, patients, and health insurance companies.
• Follow established guidelines for Medicare, Medicaid, and other insurer billing and collections.
• Protect patient confidentiality, making sure protected health information is secured by not leaving PHI in plain sight and logging off computers before leaving it unattended.
• Maintain Customer Service over the phone.

Requirements

• Background and experience in physician medical billing and collections
• Knowledge of medical terminology, ICD-10/CPT/HCPCS coding and CCI edits
• Extensive knowledge of the RCM process, rejection codes, interpreting 837 and 835 submissions, and the demonstrated ability to identify areas of opportunity to reduce denials and increase payment
• Recent experience in filing appeals with Medicare and Commercial Insurances
• Experience using payer portals to look up claim status
• Must be able to understand and interpret an EOB
• Computer smart– file electronic appeals, conduct internet research on outstanding claims, work within multiple computer systems on a daily basis
• Must be an analytical thinker and be able to demonstrate solid problem-solving skills
• Outstanding written and verbal communications skills
• Must demonstrate a customer-service focused mindset

Job Type: Full-time

Pay: $33,600.00 - $60,000.00 per year

Benefits:

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

Schedule:

• Monday to Friday

Work setting:

• Office

Ability to Commute:

• Stuart, FL (Preferred)

Ability to Relocate:

• Stuart, FL: Relocate before starting work (Required)

Work Location: In person