Medical Billing/Coding Specialist

Gastro Florida•Clearwater, FL

2d•Onsite

About The Position

Medical Billing/ Coding Specialist Gastro Florida is the largest gastroenterology group in Tampa Bay with over 65 providers and over 25 locations in Pinellas, Hillsborough, Pasco, Hernando, and Polk counties. Gastro Florida offers G.I. screening & treatment, colon cancer prevention, non-surgical cancer intervention, IBD infusions & therapy, nutrition & weight loss services, monitoring between visits, pharmacy & pathology services, and the latest therapies, including clinical research, to provide an integrated patient experience. Our mission is to provide general and advanced/interventional gastroenterology services in an Affable, Affordable & Accessible manner for Accurate Answers. We are seeking a competent, conscientious, service-oriented individual with strong character while working in our Central Business Office (CBO). This individual will work collections of insurance claims (work A/R report, insurance follow up, denials, appeals, researching unpaid balances). He/She will work under the direction of our Billing Manager. This role is ideal for someone who is confident in a fast-paced medical billing environment, comfortable with high volume loads, and able to integrate quickly with minimal training. The corporate headquarters (CBO) is located in beautiful Feather Sound (Clearwater). Gastro Florida is committed to Affability, Affordability, Access, Answers, and Accuracy. We are dedicated and working hard to become the best place to work and providing every team member the opportunity to be part of something bigger than just a job.

Nice To Haves

CPC certified candidate is preferred.

Responsibilities

Code, prepare and submit clean claims to insurance companies via electronic and paper submissions
Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner
Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
Identify payor issues and trends and resolve recoup issues
Update demographic information in the patient account record and identify actions taken on the account
Provide thorough, efficient, and accurate account updates/notes in computer system for each communication made
Identify problem accounts and escalate as appropriate
Work with patients and guarantors to secure payment on outstanding account balances
Researching and obtaining necessary information provider/office
Sort and file correspondence
Verify patient eligibility with insurance carriers
Properly calculates and collects out of pocket expenses for patients
Obtain and maintain CPC or CGIC or similar coding certifications
Able to work overtime as needed, including evening and weekend hours
Attend staff meetings, phone conferences and training as needed
Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and company policies.