What are the responsibilities and job description for the Medical Billing/Collections Specialist position at Americare Medical Center?
- Prepare, key, and review claims prior to reconciliation
- Processes claim corrections identified from the reconciliation
- Experience with coding, CPT/HCPC, Revenue, and Diagnosis codes
- Experience with 1500 HCFA
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
- Through billing software, review claim rejections and correct errors, and rebill claims
- Following up on unpaid claims within the standard collection cycle timeframe
- Checking each insurance payment for accuracy and compliance with contract and usual and customary charges
- Calling insurance companies regarding any discrepancy in payments and underpayments
- Calling insurance companies for payment on open/unpaid claims
- Identifying and billing secondary or tertiary insurances
- Reviewing accounts with balances to identify next steps, including balances needing to be set as “collections” for balance due patient
- Researching and appealing denied claims
- Answering patient or insurance telephone inquiries pertaining to assigned accounts
This is not a remote position.
If you are a motivated individual with a passion for organization and leadership, we would love to hear from you. Please submit your resume for consideration.
Job Type: Full-time
Benefits:
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
Experience:
- Microsoft Office: 1 year (Preferred)
- Administrative experience: 1 year (Preferred)
Ability to Commute:
- Sunrise, FL 33351 (Preferred)
Ability to Relocate:
- Sunrise, FL 33351: Relocate before starting work (Required)
Work Location: In person