Billing Specialist - 994004

NSU•Fort Lauderdale, FL

70d•Onsite

About The Position

Manages the billing process in NSU Health. Submits claims to insurance companies, reviews clearinghouse submission errors, and ensures accurate and timely billing for patient services. Works closely with healthcare providers, patients, and insurance companies to resolve billing issues and maximize revenue.

Requirements

Proficient knowledge of MS Office Suite (Outlook, Word and Excel).
English Language - General knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Customer and Personal Service - General knowledge of principles and processes for providing customer and personal services. This includes needs assessment, meeting quality standards for services, and evaluation of user satisfaction.
Proficient knowledge of payer policies and regulations, including Medicare, Medicaid, and private insurance guidelines.
Proficient knowledge of medical terminology, insurance processes, and coding systems (CPT, ICD-10).
Active Listening - Proficient skills in giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Speaking - Advanced skills in talking to others to convey information effectively.
Critical Thinking - Proficient skills in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
Reading Comprehension - Advanced understanding of written sentences and paragraphs in work-related documents.
Judgment and Decision Making - Proficient skills in considering the relative costs and benefits of potential actions to choose the appropriate one.
Writing - Advanced skills in communicating effectively in writing as appropriate for the needs of the audience.
Complex Problem Solving - Proficient skills in identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
Service Orientation - Proficient skills in actively looking for ways to help people.
Communication - Excellent verbal and written communication skills, with the ability to create engaging content.
Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.
Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (including finding a relationship among seemingly unrelated events).
Collaboration - Ability to work effectively with colleagues and supervisors.
Ability to enter and verify information with accuracy.
Ability to maintain confidential information.
Speech Recognition - Must be able to identify and understand the speech of another person.
Speech Clarity - Must be able to speak clearly so others can understand you.
Near Vision - Must be able to see details at close range (within a few feet of the observer).
High School Diploma and six (6) years of medical accounts receivable, healthcare claims processing, or medical billing experience.
Associate’s degree and four (4) year medical accounts receivable, healthcare claims processing, or medical billing experience.
Bachelor’s degree and two (2) medical accounts receivable, healthcare claims processing, or medical billing experience.

Nice To Haves

Experience in medical billing and revenue cycle in a healthcare setting.
Experience working with claims management software and electronic health records (EHR) systems, such as Epic, NextGen, or similar.

Responsibilities

Prepares and submits claims to insurance companies and government payers using appropriate coding systems (CPT, ICD-10).
Generates regular reports on billing metrics, collections, and outstanding claims for management review.
Verifies and matches payments with open claims, ensuring that all claims are properly adjudicated, and payment amounts are accurately reflected.
Monitors outstanding claims and follows up with insurance companies to resolve issues, denials, and discrepancies.
Maintains accurate and detailed records of billing activities, claims submissions, and payment receipts in the practice management system.
Stays updated on healthcare billing regulations and coding updates to ensure compliance and reduce claim denials.
Works closely with other departments (e.g., coding, claim analyst, and patient services) to resolve billing issues and improve overall revenue cycle efficiency.
Tracks claim rejections in the clearinghouse and make necessary corrections according to billing guidelines.
Performs other duties as assigned.