Medical Biller

Florida Heart Associates is a leading provider of cardiovascular care, dedicated to treating all types of heart conditions with a team of skilled physicians, advanced care providers, and nurses. Our commitment to excellence is reflected in our accreditation by external agencies, ensuring compliance with the highest standards of care.

We are seeking a full-time Medical Biller Accounts Receivable Specialist to join our team. The ideal candidate will have at least two years of experience with medical insurance benefits with a working knowledge of insurance companies process and nuances in regard to claim adjudication. This role will review aged accounts for anomaly; work with insurance company reps and co-workers to resolve open accounts and ensure a positive cash flow; prepare appeals and respond to patient inquiries. The position will also initiate patient contact to collect insurance information via letters, and telephone.

Located in the attractive Southwest Florida Gulf Coast area, Florida Heart Associates operates a modern medical center dedicated to meeting the cardiac needs of Southwest Florida. We perform diagnostic cardiac testing, in addition to peripheral vascular procedures. We also support an in-house cardiac PET imaging system, stress testing, ECHO, and management of arrhythmia equipment.

Florida Heart Associates offers:

• Health, dental, vision plan insurance options
• Company paid life insurance and LTD
• Accident Insurance
• Aflac choices (short-term disability, cancer, hospitalization, and accident plans)
• Identity Theft Insurance
• 401(k) with company match
• Generous Paid Time Off
• 7 paid holidays
• Employee Assistance Program (EAP)
• Perks and discounts - theme park tickets, travel, & more

EDUCATION: High school diploma or equivalent.

EXPERIENCE: 2 years of experience with medical insurance benefits

DUTIES INCLUDE BUT NOT LIMITED TO:

• Review EOB’s for denials/rejections/anomalies in payment within 48 hours of receipt
• Review medical insurance claims for resolution and payment
• Research, compile and respond to documentation requests from insurance carriers in a timely basis finding resolution to open account balances
• Systematically work accounts receivable to improve and reduce A/R days
• Perform various collection actions including contacting insurance companies and/or patient by phone, correcting and resubmitting claims
• Reviewing claims rejections/denial submit appeals for unpaid claims
• Prepare appeals when appropriate and file to insurance timely
• Work with insurance company reps to get claims resolved
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Perform other duties as assigned by supervising manager

PERFORMANCE REQUIREMENTS:

• Ability to interpret rules and regulations set by Medicare, Medicaid and Commercial payers
• Familiarity with insurance companies processes and nuances in regard to claim adjudication
• Knowledge of insurance billing and reimbursement, working knowledge of medical terminology and CPT codes, ICD-9/ICD-10
• Previous denials management experience preferred
• In-depth understanding of explanation of benefits (EOBs)
• Working knowledge of computerized medical management systems and/or web based programs
• Strong interpersonal and communication skills including verbal and written communication
• Extremely organized and detail oriented with the ability to work on multiple competing priorities
• Ability to work within a team setting and independently
• Excellent communication skills with internal and external customers
• Computer literate
• Knowledge of business office procedures

Florida Heart Associates is an Equal Opportunity Employer and is proud to be a drug and tobacco free organization. All potential hires will be required to take and clear a pre-employment drug screen upon job offer.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Day shift
• Monday to Friday
• No nights
• No weekends

Work Location: In person