Medical Billing ACCOUNTANT II - 64030717

State of Florida

11d • $37,448 - $45,552 • Onsite

About The Position

For all counties, as appropriate, plans, directs and coordinates the accounting, collection and billing functions including: recording services; billing for services; monitoring accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing client statements; contract and MOA invoicing. Audits, analyzes and reviews services for verification of all insurance information; makes necessary determinations as to correct insurance and processes all claims accordingly; Researches claims for Medicaid, Medicare and other third party insurance, contacting insurance carriers when necessary to re-evaluate claims for payment. Responsible for collaborating with other departments as needed. Reviews claims for CPT and ICD-10 coding accuracy. Volusia Billing Hub Liaison: Serves as the liaison with FDOH regarding medical billing issues. Serves as the liaison with Billing Hub CHD HMS Administrators: Ensures applicable personnel have access to the appropriate Billing Hub network folders. Ensures applicable personnel have access to the appropriate Billing Hub HMS portals. Ensures Billing Hub HMS’ have been updated, as appropriate, in areas related to medical fee scales, medical description files and provider information. Maintain working knowledge of Medicaid, Medicare, and various Insurance billing policies, which includes, but is not limited to, service limitations billable under CBR/managed care and service limitations/billable by billing type. Other duties as assigned.

Requirements

• Ability to plan, organize and coordinate work assignments.
• Ability to review, analyze and evaluate data
• Ability to compile, analyze, and evaluate data and prepare reports
• Must have at least 2 years of Medical billing experience
• Must have experience working with CPT and ICD-10 coding

Nice To Haves

• Experience with HMS, MS Word, and Excel
• Experience with Medicaid, Medicare and various insurance billing policies

Responsibilities

• Plans, directs and coordinates the accounting, collection and billing functions including: recording services; billing for services; monitoring accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing client statements; contract and MOA invoicing.
• Audits, analyzes and reviews services for verification of all insurance information; makes necessary determinations as to correct insurance and processes all claims accordingly
• Researches claims for Medicaid, Medicare and other third party insurance, contacting insurance carriers when necessary to re-evaluate claims for payment.
• Responsible for collaborating with other departments as needed.
• Reviews claims for CPT and ICD-10 coding accuracy.
• Serves as the liaison with FDOH regarding medical billing issues.
• Serves as the liaison with Billing Hub CHD HMS Administrators
• Ensures applicable personnel have access to the appropriate Billing Hub network folders.
• Ensures applicable personnel have access to the appropriate Billing Hub HMS portals.
• Ensures Billing Hub HMS’ have been updated, as appropriate, in areas related to medical fee scales, medical description files and provider information.
• Maintain working knowledge of Medicaid, Medicare, and various Insurance billing policies, which includes, but is not limited to, service limitations billable under CBR/managed care and service limitations/billable by billing type.
• Other duties as assigned.

Benefits

• Annual and Sick Leave benefits;
• Nine paid holidays and one Personal Holiday each year;
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
• Retirement plan options, including employer contributions
• Flexible Spending Accounts;
• Tuition waivers;

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees