Medical Billing Specialist, Full Time

Northwest Florida Community Hospital (NFCH), in Chipley, FL, is seeking a FT experienced, energetic and dedicated Medical Billing Specialist to join our growing Business Office!

General Summary:

• Responsible for all activities in the Hospital accounts receivable function.
• Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referring accounts to collection agencies.
• Maintains accurate records.
• Audits methods and procedures of accounts receivable function to improve efficiency and cash flow.
• Ensure maximum cash collection and consistent cash flow.
• Accurately and timely submit medical claims to insurance companies and other payers.
• Verify patient insurance coverage and obtain necessary authorizations for medical procedures.
• Review and analyze medical records to ensure appropriate coding of diagnoses and procedures.
• Resolve billing issues with insurance companies and other payers.
• Follow up on unpaid claims and resubmit claims as necessary.
• Work closely with other departments, such as medical coding and billing, to ensure accurate and timely billing processes.
• Maintain accurate and up-to-date patient and billing records in accordance with regulatory requirements.
• Provide excellent customer service to patients and other stakeholders.
• Keep abreast of changes in medical billing regulations and ensure compliance with these changes.

Education:

• High school diploma or equivalent; associate's degree in medical billing or a related field is preferred
• Minimum of 2-3 years of experience in medical billing and coding
• Strong knowledge of medical billing codes and regulations, including ICD-10 and CPT codes
• Familiarity with medical billing software and systems, such as Epic and Meditech
• Excellent analytical and problem-solving skills
• Strong attention to detail and ability to work accurately in a fast-paced environment
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Knowledge of medical terminology and procedures
• Understanding of insurance and reimbursement procedures
• Certification in medical billing and coding is a plus

Experience:

• Experience in healthcare billing, coding, and receivables preferred. Work record that demonstrates in-depth knowledge of healthcare billing and reimbursement, knowledge of medical terminology, negotiating skills, and knowledge of hospital industry financial statistical information.

Specialized Knowledge and Skills:

• Principles and practices of patient accounting, insurance reimbursement, governmental and other payer source billing, credit and collections, cashiering and admitting. Knowledge of functions, capabilities and operation of computer-based billing and patient accounts management systems.
• Requires sufficient knowledge in the use of basic computer software. Must use software to develop spreadsheets for analytical purposes.

• Perks for our team:

• 401K with employer match
• Medical, dental, vision, and life insurance
• FREE Services with NFCH Providers
• A generous PTO plan
• Competitive pay
• Health and Wellness Discounts

Job Type: Full-time, day shift.

Pay: Based on years’ of experience

Benefits:

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

Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages.

In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job.

Final confirmation of any job offer will be contingent upon successful completion of all pre-employment requirements, to include undergoing a pre-employment drug screening, and that failure to submit to such screening, the falsification of a screen, or a positive finding on a test will remove the applicant from consideration for employment for one year.