What are the responsibilities and job description for the Billing Specialist (Substance Abuse Billing) position at Codemax LLC?
Employment Status: Full-Time
FLSA Status: Non-Exempt
Location: Fort Lauderdale, FL 33309
Work Location: On Site
Job Summary:
The Billing Specialist will have a strong understanding of medical terminology, procedures, diagnoses, and equipment, as well as the ability to translate this knowledge into universal medical alphanumeric codes. This position will play a key role in our Revenue Cycle Management and requires excellent communication and follow-up skills to ensure timely and accurate reimbursement for medical services.
Duties and Responsibilities:
- Reviews patient medical records and translates services, diagnoses, and equipment into coded form using ICD, CPT, and HCPCS code sets.
- Prepares and submits claims to various insurance companies, ensuring that each claim accurately reflects the services provided.
- Follows up on unpaid claims within the standard billing cycle, identifying issues, resolving discrepancies, and ensuring maximum reimbursement.
- Maintains strict confidentiality as required by HIPAA and company guidelines, protecting all patient information and medical records.
- Communicate with health care providers, patients, and insurance companies to address inquiries and resolve any billing and coding issues.
- Stays current with changes in medical coding and billing practices, regulations, and compliance through ongoing education.
- Ensures the accuracy, completeness and consistency of coding and implement quality assurance procedures.
- All other duties as assigned.
Required Skills/Abilities:
- Proficiency in using healthcare billing software and Electronic Health Record (EHR) systems.
- Familiarity with various insurance plans and a thorough understanding of the insurance claims process.
- Excellent attention to detail, organizational skills and ability to multitask
- Strong communication and problem-solving skills
- Strong knowledge of medical terminology, anatomy and physiology
- Knowledge of HIPAA regulations and compliance standards
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Education and Experience:
- High school diploma or equivalent. Associate’s or Bachelor's degree in health information technology, medical billing or a related field preferred.
- Certification from AAPC (CPC) or AHIMA (CCS, RHIT,or RHIA) preferred.
- 1 year of prior experience in medical billing and coding, preferably in a health care or hospital setting preferred
Benefits:
- Health Insurance
- Vision Insurance
- Dental Insurance
- 401(k) plan with matching contributions