Billing Associate

HEART OF FLORIDA HEALTH CENTER INC•Ocala, FL

1d•Onsite

About The Position

The billing associate is responsible for submission of insurance claims to payer, posting payments, insurance follow-up, denials, patient AR and customer service calls. The revenue cycle specialist will ensure claims are processed accurately and in a timely manner.

Requirements

2–3 years of experience in medical billing
Working knowledge of CPT and ICD-10 coding
Experience with insurance claims follow-up and collections
Proficiency in insurance and patient payment posting
Strong verbal and written communication skills
Proficient in Microsoft Word, Excel, and Outlook
High school diploma or equivalent required

Responsibilities

Resolve non-coding insurance/clearinghouse rejection, including other claims submission errors and rejections in a timely manner
Enter and update patient information accurately within electronic medical Records (EMR), which includes verifying insurance information and accurately updating patient accounts
Perform daily posting of insurance and patient payments
Reconcile insurance payments to ensure accuracy and completeness
Insurance follow-up for no response, denials and correspondence
Answer and resolve incoming customer service calls from patients
Update patient accounts for Sliding Fee Schedule adjustments
Review and resolve insurance credit balances, including issuing refunds when appropriate
Prepare and submit accurate billing to appropriate state Medicaid systems using electronic claim submissions when possible
Demonstrate excellent customer service and professionalism when interacting with patients, providers, and payers
Maintain strict adherence to HIPAA and patient privacy rights, accessing only the minimum necessary information to perform job responsibilities
Ensure compliance with all federal, state, and payer-specific regulations related to billing and privacy
Perform other duties as assigned