Billing Specialist
Family Health Centers of SouthWest FloridaFort Myers, FL
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Overview
Schedule
Full-time
Education
Medical Coding (CCA, CCS, CCS-P, CPC)
Career level
Senior-level
Remote
On-site
Benefits
Health Insurance
Job Description
Description
POSITION DESCRIPTION:
The Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients and works rejections.
DUTIES AND RESPONSIBILITIES:
- Submits claims to payers based on review of medical records and in accordance with Medicare, Medicaid, and Commercial insurance guidelines as well as FHCSWF policies and procedures.
- Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
- Enters charges accurately and expeditiously to ensure proper records handling and fast payment.
- Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
- Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber.
- Initiates private pay collections after insurance cancellation, denial or other issue and answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc.
- Performs self-pay patient billing.
- Prepares and sends patient statements for charges not covered by insurance.
- Other duties as assigned.
Requirements
KNOWLEDGE:
- Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
- Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage
- Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
- EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system
- Understand and adhere to all HIPAA guidelines
- MS Office Suite (Excel proficiency)
- Alpha-Numeric data entry
SKILLS AND ABILITIES:
- High School or Equivalent (Associates Degree preferred)
- 2 Years Medical Billing experience
- CMRS, CPB, or CPC credentials a plus
- Attention to detail with strong documentation, analytic and problem-solving skills
- Ability to multi-task in a fast-paced environment
- Strong interpersonal written & verbal communication skill
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FAQs About Billing Specialist Jobs at Family Health Centers of SouthWest Florida
What is the work location for this position at Family Health Centers of SouthWest Florida?
This job at Family Health Centers of SouthWest Florida is located in Fort Myers, FL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Family Health Centers of SouthWest Florida?
Employer has not shared pay details for this role.
What employment applies to this position at Family Health Centers of SouthWest Florida?
Family Health Centers of SouthWest Florida lists this role as a Full-time position.
What experience level is required for this role at Family Health Centers of SouthWest Florida?
Family Health Centers of SouthWest Florida is looking for a candidate with "Senior-level" experience level.
What education level is required for this job?
The education requirement for this position is Medical Coding (CCA, CCS, CCS-P, CPC). Candidates with relevant qualifications or equivalent experience may also be considered.
What benefits are offered by Family Health Centers of SouthWest Florida for this role?
Family Health Centers of SouthWest Florida offers Health Insurance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Family Health Centers of SouthWest Florida?
You can apply for this role at Family Health Centers of SouthWest Florida either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.