Billing Specialist

Coral Gables, FL

Full Time

Billing

Mid Level

Medical billing specialist consist of using CPT codes to assemble and coordinate reimbursement claims for third-party payers. Medical billing specialist interact with insurance companies and with patients to ensure accurate, streamlined billing and payment.

Duties & Responsibilities

Receiving patient treatment codes to use in assembling reimbursement claims
Creating reimbursement claims and transfer to third-party payers
Coordinating reimbursement activities with payers
Billing patients for medical services
Check eligibility and benefit verification
Review patient bills (Statements) for accuracy and completeness and obtain any missing information
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
Follow up on unpaid claims within standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with contract discount
Call insurance companies regarding any discrepancy in payments if necessary
Identify and bill secondary or tertiary insurances
All accounts are to be reviewed for insurance or patient follow-up
Research and appeal denied claims
Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
Answer billing inquiries from patients – resolve complaints
Set up patient payment plans and work collection accounts
Review and process refunds

Job Type: Full-time
Pay: $20 - $23/hr starting (negotiable based on experience)
Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Schedule:

8 hour shift
Day shift
Monday to Friday

Work setting:

Office

Ability to commute/relocate:

Coral Gables, FL. Reliably commute or planning to relocate before starting work (Required)

Experience:

ICD-10: 1 year (Preferred)

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