Description
We are looking for a dependable, dedicated, and respectful person to join our team of Billing Specialists. Outstanding compensation including generous paid time off, 9 paid holidays, excellent health benefits, a company paid pension, multiple bonuses, and more!
POSITION DESCRIPTION:
The Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients and works rejections.
DUTIES AND RESPONSIBILITIES:
* Submits claims to payers based on review of medical records and in accordance with Medicare, Medicaid, and Commercial insurance guidelines as well as FHCSWF policies and procedures.
* Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
* Enters charges accurately and expeditiously to ensure proper records handling and fast payment.
* Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
* Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber.
* Initiates private pay collections after insurance cancellation, denial or other issue and answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc.
* Performs self-pay patient billing.
* Prepares and sends patient statements for charges not covered by insurance.
* Other duties as assigned.
Requirements
KNOWLEDGE:
* Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
* Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage
* Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
* EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system
* Understand and adhere to all HIPAA guidelines
* MS Office Suite (Excel proficiency)
* Alpha-Numeric data entry
SKILLS AND ABILITIES:
* High School or Equivalent (Associates Degree preferred)
* 2 Years Medical Billing experience
* CMRS, CPB, or CPC credentials a plus
* Attention to detail with strong documentation, analytic and problem-solving skills
* Ability to multi-task in a fast-paced environment
* Strong interpersonal written & verbal communication skill
Family Health Centers of SouthWest FloridaPosition Title: President and Chief Executive Officer (CEO)Department: ExecutiveReports To: Board of Commissioners (BOC)Position OverviewThe President and Chief Executive Officer (CEO) of the Houston Housing Authority (HHA) provides visionary leadership and operational...
...JOB SUMMARY The Manager of Imaging Operations is accountable for planning, designing, coordination and improving Imaging Services. Is... ...comply with regulatory organizations and System philosophy. Acts as Radiology Director as required. ESSENTIAL FUNCTIONS OF THE ROLE...
...Job Description Job Description ESSENTIAL DUTIES AND RESPONSIBILITIES Performs general painting and takes care of painting tools. Performs general electrical repairs and modifications, general plumbing repairs and modification, and general carpentry. Assists...
...Responsibilities for this Position Software Engineer - Entry Level ID: 2024-64667 USA-AZ-Scottsdale Required Clearance:... ...applications, systems or embedded products. This may include coding, testing and documenting software solutions to advance our technology...
...Microsoft Excel required Experience at a large scale and growing company preferred Proficient with cloud-based payroll system - Paycom Software experience preferred Knowledge in year-end tax reporting and 401k/Benefits deductions required Knowledge of...