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Company Name : DIAGNOSTIC MEDICAL IMAGING
Location : Hollywood, FL 33024
Position : Medical Billing/Collections Specialist
Job Description : JOB SUMMARY:The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide.MAJOR DUTIES & RESPONSIBILITIES:Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account / claim adjudicationResponsible for correcting, completing, and processing claims for all payer codesAnalyze and interpret that claims are accurately sent to insurance companiesPerform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reportsAble to identify an appeals worthy claim and or ability to process appeals online or via paper submission; Assist with billing audit related informationAttend provider meetings/ workshops when neededCommunicate with billing and credentialing coordinator to identify and resolve audit review issuesAnswer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.Communicate daily with internal and external customers via phone calls and written communicationsIdentify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or SupervisorResearch, record findings, and communicates effectively with Manager to achieve optimum performancePursue and participate in education to remain current with changes in the Healthcare industryMaintain patient confidence and protects medical office operations by keeping patient information confidentialContribute to team effort by accomplishing related results as neededPromote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectivesDemonstrate respect fellow employees to insure a professional, responsible and courteous environmentPerform other duties as assigned to support National Billings Mission, Vision, and Values.QUALIFICATION REQUIREMENTS:Minimum of one year of related experience in a business, medical or technical environment; (Students may be considered for a “Biller in Training” position)Previous experience in a medical office setting and/or experience with an Electronic Medical Record a plusCustomer service drivenUnderstanding of medical terminology and insurance laws/guidelinesExcellent organization and time management skills along with excellent oral and written communication skillsStrong team playerAbility to learn quickly, build and maintain long term relationships and work with minimal supervisionStrong written and verbal communication skills; strong analytical, organizational and time management skills required. Ideal candidate will have Kareo Practice management billing software experience or used similar billing systems.LANGUAGE SKILLS: Ability to read, analyze, and interpret general health and social services guidelines, technical procedures or governmental regulations. Ability to write reports, health correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups or patients, center staff, and the general public.MATHEMATICAL SKILLS:Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions.CUSTOMER RELATIONSHIPS:Follow through with customer inquiries, requests and complaints. Forward difficult and nonroutine inquiries or requests to appropriate level for resolution.Job Type: Full-timePay: $20.00 – $25.00 per hourBenefits:Health insurancePaid time offSchedule:8 hour shiftMonday to FridayExperience:ICD-10: 1 year (Preferred)Work Location: One location
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