What are the responsibilities and job description for the Commercial Billing Specialist/Job ID: 1603568 position at Florida Physician Group Inc?
Florida Physician Group
FPG Corp Offices
Job Summary
Under the direction of the Directors or designee, the Billing Specialist ensures all Commercial / Managed Care, Medicare and Medicaid claims are reviewed for claim edits, claim submission, and timely follow up, as assigned.
Duties and Responsibilities:
- Review all Manager holds in Athena and resolve the challenges so that the claims are resubmitted clean and are paid in less than 35 days
- Reporting to the Directors and Practice Managers any challenges with consistent issues with staff members quality of work and the need for training or corrective action steps
- Monitor through Athena reporting and provider documentation split shared and incident 2 billing guidelines
- Submit claims to carriers with the appropriate remarks and/or attachments during claims resolution
- Run insurance eligibility and correct claim before submission, as needed
- Pull supporting documents for annual regulatory audits, as needed
- Ensure credit balances are reviewed and resolved timely
- Assist in the charge posting and holds resolution process in all practices, when needed
- Provide education to team when needed and necessary
- Other billing assignments, within skillsets and abilities
- Any other duties as assigned
- Travel to Broward and Dade practices for training
Education
Certified coder Certificate or Degree
High School graduate or equivalent
Experience
Minimum 2-years Commercial / Managed Care / Medicare / Medicaid billing experience in an acute Physician Practice setting billing for Medicare part B fee's
Working knowledge of Common Procedural Terminology (CPT), HCPCS and ICD10 Code
Working knowledge of Federal, State, and Commercial billing guidelines
Language: Bilingual English/Spanish is preferred
Must be able to pass Background and Drug Test screenings.
