Billing Specialist - Lutz

Suncoast Skin Solutions•Lutz, FL

38d•Onsite

About The Position

Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Billing experience preferred. This role involves administrative, professional, time management, legal, and core competency aspects, requiring attention to detail, organization, and strong communication skills. The position also has specific physical demands.

Requirements

Basic computer skills
Type minimum 45wpm
Recognizes and respects cultural diversity
Adapts communication to individual’s ability to understand
Uses professional, pleasant telephone etiquette
Uses medical terminology appropriately
Treats all patients and co-workers with compassion, e-mpathy, and mutual respect.
Projects a professional manner and image
Consistent attendance and punctuality
Adherence to time clock procedures
Prolonged sitting/walking
Repetitive motion of head, neck, hands, wrists and arms
Use of telephone, headset and office equipment such as computers, faxes, scanner copiers
Multitask position
Lifting up to 25lbs.
Extensive reading and writing/typing
Accounts Receivable and Billing experience preferred.
Knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred.

Nice To Haves

Billing and coding certification a plus
Pathology and Dermatology experience a plus

Responsibilities

Prepares and submits clean claims to various insurance companies either electronically or by paper.
Answers questions from patients, clerical staff and insurance companies.
Identifies and resolves patient billing questions and complaints.
Prepares, reviews and sends patient statements.
Evaluates patient’s financial status and establishes budget payment plans; follows and reports status of delinquent accounts.
Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.
Research and appeal denied claims.
Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
Works patient and insurance AR.
Helps submit and maintain Provider insurance credentialing.
Maintains confidentiality and documents accurately.
Uses appropriate guidelines for releasing patient information.
Practices within the scope of education, training and personal capabilities.
Conducts self in accordance with Suncoast’s employee manual.
Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA.