***Florida residents ONLY***

Job description

Our group is seeking an individual with administrative and medical billing experience who strives to deliver the highest of customer service standards. This position will be responsible for supporting the office AND billing procedures, process flow and reports. The incumbent will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely in order to maximize revenues. Other important duties include credentialing, enrollment processing, and supporting the office team.

MAJOR DUTIES/RESPONSIBLITIES:

Supports company operations by maintaining office systems and supervising staff.
Maintains office services by organizing office operations and procedures, preparing payroll, controlling correspondence, designing filing systems, reviewing and approving supply requisitions, and assigning and monitoring clerical functions.
Designs and implements office policies by establishing standards and procedures, measuring results against standards, and making necessary adjustments.
Completes operational requirements by scheduling and assigning employees and following up on work results.
Keeps management informed by reviewing and analyzing special reports, summarizing information, and identifying trends.
Review, correct and submit clean claims to third party biller
Create both paper and electronic copies of documentation
Develop and maintain a tracking system of incoming and late payment
Monitor and date late payments
Initiate late payment notices to relevant parties
Respond to questions and complaints from patients or insurance companies
Follow-up on late or missed payment notices
Monitor and resolve financial discrepancies
Arrange payment plans and timelines for payments
File and maintain organized documentation of all billing and record
Develops set billing processes and procedures
Update and review all accounts to keep records of payments up-to-date
Work with personal information and maintain patient confidentiality
Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
Create or maintain policy and procedures for all areas of job responsibilities.
Conduct audits and coding reviews to ensure all documentation is accurate and precise
Review the physician’s coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
Assign codes to diagnoses and procedures, using ICD and CPT codes
Close payment batches daily, reconciling individual carrier payments and EOB statements
Discuss outstanding payment amounts with patients regarding balance owed by the insurance company and the patient
Post all payments, by line-item, received for physician’s professional services into EMR software system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. All payment batches must be balanced in both their dollar value of payments and adjustments prior to posting.
Provide customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 1 business days to ensure maximum patient satisfaction.
Maintains relationship with clearinghouse, including appropriate follow-up with Create and maintain patient profiles/registrations
Verify all demographic and insurance information in patient registration of the EMR software system at the time of charge entry to ensure accuracy, provide feedback to clients and supervisor to ensure timely reimbursement support issues.
Maintain up-to-date credentials for each licensed provider, including verification through primary and secondary sources, records, and relay credentialing information to relevant personal as needed.
Keeps accurate records of provider licensure/ certification renewals.
Coordinate provider enrollments in all commercial, state and federal insurance programs. Correspond with and provide updates to insurances.

Job Type: Full-time

Pay: $17.00 - $19.00 per hour

Expected hours: 40 per week

Benefits:

Paid time off

Schedule:

8 hour shift
Day shift
Monday to Friday

Work setting:

Remote

Location:

Florida (Required)

Work Location: Remote

Manatee Senior Care

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Medical Billing Specialist (Remote)