Palm Medical Centers

Billing Specialist

Billing - Coral Gables, FL - Full Time

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)
Apply: Billing Specialist
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