Job Description

Apply for the Billing Specialist role at Family Health Centers of Southwest Florida .

Position Description

The Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients and works rejections.

Duties and Responsibilities

• Submits claims to payers based on review of medical records and in accordance with Medicare, Medicaid, and Commercial insurance guidelines as well as FHCSWF policies and procedures.
• Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
• Enters charges accurately and expeditiously to ensure proper records handling and fast payment.
• Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
• Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber.
• Initiates private pay collections after insurance cancellation, denial or other issue and answer patient questions on patient responsible portions, copays, deductibles, write?offs, etc.
• Performs self-pay patient billing.
• Prepares and sends patient statements for charges not covered by insurance.
• Other duties as assigned.

Requirements

Knowledge

• Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment.
• Medical terminology, CPT, HCPCS and ICD?10 coding and modifier usage.
• Understanding of FQHC billing procedures and Sliding Fee Schedules a plus.
• EHR systems expertise, preferably with Intergy or other ambulatory care facility?based system.
• Understand and adhere to all HIPAA guidelines.
• MS Office Suite (Excel proficiency).
• Alpha?Numeric data entry.

Skills and Abilities

• High School or Equivalent (Associates Degree preferred).
• 2 Years Medical Billing experience.
• CMRS, CPB, or CPC credentials a plus.
• Attention to detail with strong documentation, analytic and problem?solving skills.
• Ability to multitask in a fast?paced environment.
• Strong interpersonal written & verbal communication skill.

Seniority level: Entry level

Employment type: Full?time

Fort Myers, FL $50,000.00?$60,000.00 (5 days ago)

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