Medical Billing Specialist in Sarasota Dermatology

Essential Duties and Responsibilities:

Responsible for supporting the Revenue Cycle Management Team Leads, Managers, and Directors with insurance and patient accounts receivable. Responsible for reviewing all assigned accounts within a timely manner, maintaining metrics that fall within the expectations set by organizational leadership and based on national benchmarks. Must maintain a comprehensive understating of the health insurance market, specific plan requirements, and standard payment options. Required to communicate with patients, colleagues, and third parties such as insurance companies, in a way that is perceived as thorough and clear. Possesses ability to communicate with and educate patients regarding their financial responsibility and payment options. Responsible for creating payment arrangements and collecting payments as needed (non-covered services, self-pay, co-pays, deductibles, and/or co-insurance) and recording transactions in the practice management system. Required to assist with ad hoc reporting requests and projects as assigned.

Essential Functions:

• Review and adjudicate all denied and aging claims in a timely manner.
• Communicate effectively with clinic staff when needed.
• Code and post all patient and insurance provider claims.
• Obtain all necessary referrals and authorizations required.
• Interact with and counsel patients in person and via telephone in a professional manner regarding their insurance plan, payments and other relevant financial issues.
• Possess detailed understanding of insurance company protocols and managed care contracts.
• Must be knowledgeable in IDC and CPT coding; and stay well-informed of industry changes.
• Provide exceptional customer service by taking calls from patients, answering questions, problem-solving, and assisting with concerns and complaints in a timely manner.
• Communicate clearly with and accommodate all patients, customers, and insurance companies making a concerted effort to positively resolve insurance matters.
• Manage incoming phone calls, voicemails and emails; maintain a 24-hour turnaround time.
• Comply with all organizational policies and procedures including punctuality, attendance and dress code.
• Exhibit exceptional customer service qualities at all times with patients, customers, team members, staff and insurance companies.
• Ensure confidentiality and maintain the highest regard for patients’ records and physicians’ information professionally and in compliance with local, state and federal mandates.
• Other duties as assigned.

Education/ work Experience Requirements: 

1. High School Diploma.
2. Billing or Coding Certification Preferred.
3. 3 years in healthcare financial operations.
4. Knowledge in Microsoft Word, Excel, Outlook.
5. Knowledge of medical and surgical terminology.
6. Effective in providing exceptional customer service to patients and colleagues
7. Possess a financial and mathematical aptitude
8. Excellent verbal and written communication skill
9. Expert in insurance co-pays, deductibles, allowable, CPT and diagnosis codes
10. Detail-oriented and organized; ability to multi-task; strives for precision and process improvement/enhancement
11. Consistently willing to help others (patients, customers, staff, physicians, other employees)
12. Problem solver and ability to work independently with minimal supervision

Skills:

• Stong interpersonal and communication skills
• Attention to detail
• Ability to stay organized and work in a fast paced environment.
• Willingness to learn and grow within the organization.

Physical Requirements:

Must be able to spend a great deal of the day walking, standing, moving and manipulating equipment, as well as lifting and moving objects, equipment and supplies. It is reasonable to anticipate lifting 20-25 pounds in any given day.

Excellent Benefit Package Includes:

• Competitive pay
• 401k with company match
• Health, Dental, Vision 
• Employer HSA contribution
• Life Insurance
• Tuition Reimbursement
• Great PTO and Holiday policy

If you are a motivated and compassionate Medical Billing Specialist with the passion to grow in the field of Dermatology, we invite you to apply and become an integral part of our dynamic team.