If you have a strong desire to become a part of a dynamic team for Midway Specialty Care Center,LLC, a not-for-profit medical clinic, you may be the perfect person to fill this position. This position is in Port Saint Lucie, Florida. Local applicants welcomed.
The Billing Specialist maintains and ensures all medical billing - financial protocol, statutory rules and regulations adhere to Generally Accepted Accounting Procedures (GAAP). He/She maintains accounts receivable, gathers and disseminates data, reports and other materials relating to accounts, medical billing, claims submission and insurance document(s) requests to the Director of Finance and other designated personnel.
Job Type: Full-time
SPECIFIC AREAS OF RESPONSIBILITY TO POSITION
Accumulates and prepares such billing reports, inpatient/hospital and outpatient, as requested by supervisors.
Monitors insurance denials and documents request(s).
Monitors client compliance with program schedule, reports problems and informs supervisor.
Maintains knowledge and utilizes Company EMR (Electronic Medical Record) – EClinical Works.
Maintains knowledge and understanding of ICD diagnoses codes, treatments, and clinical documentation.
Responsible for the oversight and management of the EClinical Works EMR system(s).
Assists in formulating corrective action plans, as necessary, to comply with Billing/Utilization Review and/or Performance activities.
Maintains records, data, and statistical analyses of all Billing – Coding Review activities.
Maintains knowledge of collections process from both patient and commercial payers.
Responsible for medical/facility claim submission to different commercial payers.
Posts both patient and commercial payments to company database.
Maintains professional behavior, and attitude towards patients, visitors, and coworkers.
Obtains and/or verify patient insurance benefits and/or coverage prior to patient appointment.
Strong knowledge and understanding of Medicare, Medicaid, HMO plans, third party payers and Authorization/Referral requirements.
Reviews insurance documentation obtained by Medical Office Assistant for scheduled, walk-in and emergency appointments.
Ensures that verification updates are entered daily into practice management system.
Communicates with other staff members about any patient concerns and/or issues related to verifications.
Assists the billing department in working the Accounts Receivables (AR) report monthly.
Assists the billing department with correcting electronic claims before submittal.
Answers calls and assists patients with insurance and billing questions.
Performs other duties and responsibilities as assigned.
1-2 years minimum billing experience
Strong communication and interpersonal skills
Proficient mathematical skills
Must acquire and maintain knowledge of current recovery laws and regulations
CPC certified required
Available for full-time employees:
Health, vision, dental benefits available after 90 days
PTO accrual available for use after 90 days
Six (6) Paid Holidays Available
401K eligibility after 90 days of full-time employment
This person must prioritize tasks and use space and time efficiently.
The person in this position must be able to think critically and logically.
This is a position of trust.
Job Type: Full-time
Salary: From $14.00 per hour