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Billing Specialist

Company: Family Health Centers of SouthWest Florida
Location: Fort Myers
Posted on: November 14, 2021

Job Description:

Apply Job Type Full-time Description POSITION DESCRIPTION: We are looking for a dependable, dedicated, and respectful person to join our team of Billing Specialists. Outstanding compensation including generous paid time off, 9 paid holidays, excellent health benefits, a company paid pension, multiple bonuses, and more! 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 multi-task in a fast-paced environment * Strong interpersonal written & verbal communication skill

Keywords: Family Health Centers of SouthWest Florida, Fort Myers , Billing Specialist, Accounting, Auditing , Fort Myers, Florida

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