Billing Specialist

GA Foods•St. Petersburg, FL

4d•Onsite

About The Position

The billing and collection specialist is responsible for ensuring accurate billing, timely submission, monitoring payment status, researching short payments, documenting related account activities, and posting adjustments. The billing and collection specialist must possess critical thinking skills and understanding full cycle accounts receivable. In addition, the billing and collection specialist must demonstrate ability to issue invoices to customers and be willing to learn proficiencies within clinical billing system for the efficient processing of medical claims to Insurances nationwide.

Requirements

Minimum of one year of relatedbilling inofficeenvironment.
Previousexperience in a medical office setting and/or experience with an Electronic MedicalRecorda plus.
Customer servicedriven.
Understanding of medical terminology and insurance laws/guidelinesa plus.
Excellent organization and time management skills along with excellent oral and written communication skills.
Strong teamplayer.
Ability to learn quickly, build andmaintainlong termrelationshipsand work with minimal supervision.
Strong written and verbal communication skills; strong analytical, organizational and time management skillsrequired. The ideal candidate will have billing software experience or have used similar billing systems.
Ability to read, analyze, and interpret general health and social services guidelines, technical procedures or governmental regulations.
Ability to write reports, health correspondence and procedure manuals.
Ability to effectively present information and respond to questions from groups or patients, center staff, and the general public.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions.

Responsibilities

Full cyclecustomerbilling starting from proof of delivery to PDF invoice.
Ability to make corrections to invoices and bookthe correctionsin accounting software.
Collect and notate customer accounts with payment status and other issues.
Attends customer meetings/ workshops / implementations when needed.
Ability to navigate commercial/customer payment platformsand orportals.
Communicate daily with internal and external customers via phone calls and written communications.
Identifytrends,and customerissues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor.
Research, record findings, and communicate effectively with Manager to achieveoptimumperformance.
Maintain HIPPA/PHI requirements.
Promote effective working relations and work effectively as part of a team tofacilitatethe department's ability to meet its goals andobjectives.
Demonstrate respect to all fellow employees to ensure a professional,responsibleand courteous environment.
Other duties andprojectsassigned by management.
Responsible for charge andpaymententry within Electronic Health Record. Coordinates and clarifies with clients/customers, when necessary, on information that seems incomplete or is lacking for proper account / claim adjudication.
Responsible for correcting, completing, and processing claims for all payer codes.
Analyze and interpret theclaimsare accurately sent to insurance companies.
Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and health insurance companies on unpaid insurance accountsidentifiedthrough aging reports.
Able toidentifyand appeal claims if needed and or ability to process appeals online or via paper submission; Assist with billing audit related information.