Medical Billing Specialist Jacksonville,  FL Idea Staff

Applicants

Share This Job Order

Medical Billing Specialist

Job Title
Medical Billing Specialist
Job Order ID
27045544
Begin Date
9/27/17
Duration
Location
Jacksonville,  FL 32207
Other Location
Description

JOB TITLE:             Medical Billing Specialist     

PAY RATE:               $15.50-16/hr

DEPARTMENT:        Finance and Business Operations

FLSA STATUS:        Non – Exempt

 

SUMMARY STATEMENT:

The specialist must demonstrate a broad understanding of billing related functions within their functional areas.  As a specialist, this position requires demonstration of a positive and supportive attitude toward the Organization and its overall success.  Specialist is responsible for ensuring payment is secured for all services.  The specialist is accountable for the obtaining authorization for procedure code specific services, billing insurance companies for services, posting of insurance payments based on the client’s explanation of benefits. Specialist is responsible for timely filing of secondary/tertiary insurance billings, follow-up, denials, reconsiderations and appeals until all claims are fully adjudicated. 

ESSENTIAL FUNCTIONS:

  • Verify, document, and relay - to client and staff - all insurance eligibility/benefits for discipline specific services. This includes all co-pays, co-insurance, deductibles, out of pocket maximums, covered and non-covered services, visit maximums with clients and staff
  • Submit, obtain, and track insurance authorizations from in-network and out-of-network insurance carriers for new and existing patients
  • Maintain tracking system for the client plan of care, prescriptions and authorizations and all information is kept current in AdvancedMD
  • Update clients’ financial status and pertinent information
  • File primary, secondary and tertiary claims to appropriate payers through AdvancedMD, provider websites, paper forms or other approved means.
  • Process un-billed and excluded claims in AdvancedMD
  • Post payments from payers to client accounts in AdvancedMD
  • Research claim denials and explanation of benefits (EOB) to identify/resolve outstanding insurance issues
  • Provide prompt feedback to supervisors when significant service area challenges are identified
  • Identify and share opportunities to improve current processes

OTHER DUTIES (included but not limited to):

  • Cross-train in all other billing functions
  • Perform other duties as assigned by supervisors
  • Participate in staff meetings and in-service training as assigned

QUALIFICATIONS (minimal knowledge & experience):

  • Three years’ experience in health insurance and payer program services or related field.
  • Experience with Navinet, CMS and Availity is required.
  • Degree in business or other related field preferred or equivalent experience
  • Effective written and verbal communication skills
  • Experience with occupational, physical, speech therapy is preferred. 

TOOLS & EQUIPMENT USED:

  • General office equipment, computer, and related peripherals
  • MS Word, MS Excel, MS Outlook, medical billing software-preferably AdvancedMD

PHYSICAL REQUIREMENTS:

  • Frequent changing of sitting and standing positions throughout working hours
  • Occasional lifting up to 10 pounds
  • Occasional bending, kneeling, squatting
  • Visual requirement equal to that whose work deals largely with computers, analyzing data and figures
  • Talking to convey detailed or important spoken instructions accurately
  • Frequent typing for sustained periods of time

WORKING CONDITIONS:

  • Work is performed in an office environment
Required Skills

3 years of experience in health insurance and payer program services
Openings
1
Pay Range
$15.50   Hourly to $16.00   Hourly

Option 1: Create a New Profile