Claims Analyst

North Florida Surgeons, P.A. • Jacksonville, FL

3d • Onsite

About The Position

Florida Eye Specialists is a top provider in eye care for the greater Jacksonville area and is the preferred provider for the Jacksonville Jaguars! There are currently ten locations in and around Jacksonville and we are growing every day! The physicians and staff of Florida Eye Specialists are united by a common passion for excellence in eye care. Our doctors have dedicated numerous years of medical school, residency, fellowship and post-fellowship training to eye-disease research and education.

The Claims Analyst is responsible for reviewing, correcting, and resubmitting insurance claims to maximize reimbursement and ensure timely and accurate payment. This position will also be responsible for insurance pre-payment medical record review and submission, claims reconsiderations, and follow-up with insurance carriers regarding outstanding or denied claims.

Requirements

• Working knowledge of medical insurance claims, including claim denials and resolution
• Working knowledge of CPT, HCPC, and ICD-10 codes
• Basic understanding of Medical Terminology (preferably ophthalmology)
• Excellent verbal and written communication skills
• Ability to interact with insurance companies, patients and employees in a courteous, professional manner at all times
• Excellent organizational skills and attention to detail
• Strong problem-solving and investigative skills
• Ability to multi-task and function well in a high-paced and at times stressful environment
• Comply with HIPAA confidentiality standards when accessing or communicating patient information

Responsibilities

• Resubmission of unpaid claims; claims follow-up
• Response to billing phone calls and questions, internal and external
• Daily charge entry
• Authorizations for urgent and non-urgent in-office and outpatient services
• Obtain, verify and enter accurate patient insurance policy information
• Contacts insurance companies via portal or phone requesting policy and coverage limits, deductible amounts, and any pre-existing clauses on all surgeries or when coverage is in question
• Collect and post patient payment
• Comply with HIPAA confidentiality standards when accessing or communicating patient information
• Other duties as assigned by supervisor, manager or physician

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed