Medical Billing Specialist

Description:

Responsibilities:

This position is responsible for, but not limited to, the following:

• Assures that all phases of processing client information are in compliance with HIPAA, PHI regulatory and related policies and practices; reports any Compliance issues to the Director of Operations.
• Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility. Responsible to follow-up as necessary to facilitate the collection of co-pays.
• When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account.
• Manages the entry of client information into computer system in a timely manner and contact of referral source, customer and/or client to obtain missing information needed to set up client for service.
• Ensures that the data is accurate and complete.
• Confirms all sales orders in the system and ensures that all required information (e.g. proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment.
• Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete.
• Responsible for the timely submission of claims (electronic and paper as needed) to payers; Corrects and resubmits front-end and back-end rejected claims.
• Ensures that all cash is posted to the correct account in a timely manner.
• Responsible for the timely follow-up and collection of payments due to the organization. This is accomplished by generating invoices and/or following up with clients and/or payers.
• Uses available resources to maintain current regulatory guidelines and reimbursement information to ensure that the company is obtaining all appropriate information as required for billing and reimbursement.
• Performs other duties/projects as assigned by management including customer service support: processing, resolving and logging customer inquiries.

Nature of Work:

• Focused on Collections of patient accounts - patients using LVAD (Left Ventricular Assist Device), filing claims, reviewing EOBs (Explanation of Benefits) from Insurance companies with patient over the phone, taking numerous telephone calls per day that drop into queue, using proper Codes to bill
• Please do not submit anyone that does not have previous medical billing/collections experience.
• Specifically, we are looking or candidates with proficiency with revenue cycle systems, reporting, and data analysis, initiates contact with insurance carries regarding status on claims, maintains accurate and complete collection notes concerning collection activities on all accounts, can work independently, responsible for processing appeals and researching of claims, follow specific payer guidelines for appeal submissions and demonstrates knowledge of government payer’s guidelines.
• Skills Needed: MUST HAVE COLLECTIONS
• Experience; Good Listening, good communication, fine attention to detail, good telephone skills, data entry skills, good customer service, good time-management skills, good analytical skills, good problem-solving skills
• Is part of Team with Monthly goal to bring-in Cash Collections (they do not handle cash directly) - the goal is 13 million to 16 million monthlies in collections
• Will provide training on the systems used - LVAD Driveline, Dyson, & Patient CoVent - No need to come with experience in these systems

Experience Needed:

• 3 to 5 years is preferred but not needed, however candidate should come with mid-level range of experience versus no experience

Experience in:

• AR/Collections, Billing/Collections, Medicaid and Medicare Collections background, Accounting background

Education:

A minimum of a H.S.Dip or GED is a must-have

Notes:

5 Days Onsite
Hours: 8:30AM to 5:00PM

Job Type: Contract

Pay: $21.00 - $23.50 per hour

Expected hours: 40 per week

Schedule:

• 8 hour shift
• Monday to Friday

People with a criminal record are encouraged to apply

Ability to Commute:

• Gainesville, FL 32607 (Required)

Ability to Relocate:

• Gainesville, FL 32607: Relocate before starting work (Required)

Work Location: In person

Salary : $21 - $24