Billing Specialist

Physicians’ Primary Care•Fort Myers, FL

10h

About The Position

Physicians’ Primary Care of Southwest Florida is a premier physician owned and managed primary care practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking a Billing Specialist to join our Central Billing team in Fort Myers. Sample of Duties: Provide excellent customer service (friendly, courteous and helpful) to both our internal and external customers. Trains and supports front desk at the main lab on verifying patient insurance benefits and obtaining authorizations if applicable. Monitors for compliance. Answers patient billing questions and concerns, either by phone or through written correspondence. Acts as liaison between patient and reference labs when needed. Corrects PPC billing errors when authorized. Reviews accounts of scheduled patients at the main lab to ascertain outstanding balances. Determines amount that patient will pay at time of visit and notifies patient prior to appointment as needed. Notifies front desk of expected patient payments. Establishes payment plan agreements with patients. (refer to Payment Plan Agreement policy) Monitors coding and billing for any errors or inconsistencies and makes corrections when authorized. Communicates with Provider’s Medical Assistants on obtaining proper diagnosis at ordering. Provides support and education as needed. Work payments, Adjustment and refund reports not posted at CPT level daily. Monitors, updates and maintains the reference lab portals (LabCorp and Quest). Notifies manager if incorrect coding patterns emerge. Stays up to date on payer’s rules, regulations and guidelines. Maintains strict confidentiality

Requirements

Two years of experience in revenue cycle in a health care organization
Must have knowledge of CPT, ICD and proper use of modifiers.
Skill in defining problems, collecting data, interpreting billing information
Ability to handle all interactions in a professional, friendly and compassionate manner
Skill in computer applications
Ability to perform mathematical computations and compute ratios and percentages

Responsibilities

Provide excellent customer service (friendly, courteous and helpful) to both our internal and external customers.
Trains and supports front desk at the main lab on verifying patient insurance benefits and obtaining authorizations if applicable.
Monitors for compliance.
Answers patient billing questions and concerns, either by phone or through written correspondence.
Acts as liaison between patient and reference labs when needed.
Corrects PPC billing errors when authorized.
Reviews accounts of scheduled patients at the main lab to ascertain outstanding balances.
Determines amount that patient will pay at time of visit and notifies patient prior to appointment as needed.
Notifies front desk of expected patient payments.
Establishes payment plan agreements with patients.
Monitors coding and billing for any errors or inconsistencies and makes corrections when authorized.
Communicates with Provider’s Medical Assistants on obtaining proper diagnosis at ordering.
Provides support and education as needed.
Work payments, Adjustment and refund reports not posted at CPT level daily.
Monitors, updates and maintains the reference lab portals (LabCorp and Quest).
Notifies manager if incorrect coding patterns emerge.
Stays up to date on payer’s rules, regulations and guidelines.
Maintains strict confidentiality