What are the responsibilities and job description for the Insurance and Billing Representative position at Florida Otolaryngology Group?
Overview
Join our dynamic healthcare team as an Insurance and Billing Representative, where your expertise will drive accurate and efficient medical billing processes. In this vital role, you will manage insurance claims, verify patient coverage, and ensure precise coding to facilitate seamless reimbursement. Your proactive approach will help optimize revenue cycles while providing exceptional support to patients and healthcare providers alike. If you thrive in a fast-paced environment and are passionate about medical administration, this opportunity is perfect for you to make a meaningful impact every day!
Duties
- Review and process medical claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring accuracy and completeness.
- Apply appropriate diagnosis codes such as ICD-9 and ICD-10, along with procedure codes like CPT (Current Procedural Terminology) to support billing submissions.
- Verify patient insurance coverage, benefits, and eligibility to facilitate smooth claim processing.
- Manage medical collections by following up on unpaid or denied claims with insurance companies and patients.
- Maintain detailed medical records, ensuring all documentation aligns with billing requirements and medical terminology standards.
- Collaborate with healthcare providers to clarify coding discrepancies related to DRG (Diagnosis-Related Group), ICD coding, or CPT coding issues.
- Stay updated on industry regulations and coding guidelines to ensure compliance with healthcare policies and reimbursement standards.
Qualifications
- Proven experience in medical billing, medical coding, or a related administrative role within a healthcare setting.
- Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG classifications.
- Familiarity with medical terminology, medical records management, and insurance claim procedures.
- Proficiency in EMR systems and EHR platforms for accurate data entry and claim submission.
- Excellent attention to detail with the ability to identify errors or inconsistencies in medical documentation.
- Effective communication skills for liaising with insurance providers, healthcare staff, and patients.
- Ability to adapt quickly to evolving industry standards and maintain confidentiality of sensitive information. Embark on a rewarding career where your skills directly contribute to the efficiency of healthcare delivery! We are committed to fostering an inclusive environment that supports your professional growth while ensuring the highest standards of accuracy and service excellence.
Pay: $17.00 - $19.00 per hour
Work Location: In person
Salary : $17 - $19