Sarasota Memorial Health Care System
Billing Coordinator I
Sarasota Memorial Health Care System, Sarasota, Florida, United States, 34243
1 day ago Be among the first 25 applicants
Job Summary
Reviews and processes billing both electronic and manual claims as well as keeping updated with the ever-changing insurance demands and reviewing rebill requests. Identifies and problem solves billing inaccuracies while keeping statistics of errors found and updating info in AM/PFM as needed. Ensures all claims are submitted both accurately and timely. Manually prepares all special handling claims as well as bill secondary insurance and print/request necessary attachments such as medical records and itemized. Calculates and posts allowances for Medicaid accounts and maternity package plans as well as adjusts off non-covered charges and others outlined by the individual insurance carriers. Verifies insurance eligibility for Medicaid and their HMO's while also searching for authorizations and specific provider numbers. Maintains knowledge and use of the SSI billing system as well as other related programs such as AM/PFM, AccessANYware, EQ Health, FEMMIS and Passport. Documents billing information and works closely with other related departments to ensure 'clean' claim submission. Job Description
Department
Patient Financial Services
Job Summary
Reviews and processes billing both electronic and manual claims as well as keeping updated with the ever-changing insurance demands and reviewing rebill requests. Identifies and problem solves billing inaccuracies while keeping statistics of errors found and updating info in AM/PFM as needed. Ensures all claims are submitted both accurately and timely. Manually prepares all special handling claims as well as bill secondary insurance and print/request necessary attachments such as medical records and itemized. Calculates and posts allowances for Medicaid accounts and maternity package plans as well as adjusts off non-covered charges and others outlined by the individual insurance carriers. Verifies insurance eligibility for Medicaid and their HMO's while also searching for authorizations and specific provider numbers. Maintains knowledge and use of the SSI billing system as well as other related programs such as AM/PFM, AccessANYware, EQ Health, FEMMIS and Passport. Documents billing information and works closely with other related departments to ensure 'clean' claim submission.
Responsible for keeping abreast of and complying with all managed care contracts and third party billing regulations. Clears fatal edits on AM/PFM accounts to ensure “clean” claim submission to increase the number of daily claims worked by each biller and increasing revenue reimbursement. Receives and responds to incoming calls and representative requests in a professional and timely fashion promoting customer satisfaction. Works as a team member demonstrating time management skills and communicating new information or changes.
Required Qualifications
Require a minimum of three (3) years of experience with PC-related software with strong analytical computer skills. A Bachelor’s degree can substitute for the required experience.
Preferred Qualifications
Prefer experience in processing health insurance claims. Prefer demonstrated ability to cross train within the department. Prefer working knowledge of ICD-10 and CPT coding. Require the ability to type minimum of thirty (45) words per minute. Prefer Certified Patient Account Technician (CPAT) or Certified Revenue Cycle Specialist (CRCS). Prefer the ability to use a 10 key adding machine both quickly and accurately. Prefer the ability to communicate effectively with patients and the public demonstrating a high level of professionalism. Prefer demonstrated interpersonal skills including the ability to handle difficult situations diplomatically. Prefer demonstrated computer literacy with windows based programs. Prefer demonstrated effective oral and written communication skills.
Mandatory Education
HS EQ: High School Diploma, GED or Certificate
Preferred Education
Required License and Certs
Preferred License And Certs
Full time, onsite, Mon-Fri Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Sarasota Memorial Health Care System by 2x Get notified about new Billing Coordinator jobs in
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Reviews and processes billing both electronic and manual claims as well as keeping updated with the ever-changing insurance demands and reviewing rebill requests. Identifies and problem solves billing inaccuracies while keeping statistics of errors found and updating info in AM/PFM as needed. Ensures all claims are submitted both accurately and timely. Manually prepares all special handling claims as well as bill secondary insurance and print/request necessary attachments such as medical records and itemized. Calculates and posts allowances for Medicaid accounts and maternity package plans as well as adjusts off non-covered charges and others outlined by the individual insurance carriers. Verifies insurance eligibility for Medicaid and their HMO's while also searching for authorizations and specific provider numbers. Maintains knowledge and use of the SSI billing system as well as other related programs such as AM/PFM, AccessANYware, EQ Health, FEMMIS and Passport. Documents billing information and works closely with other related departments to ensure 'clean' claim submission. Job Description
Department
Patient Financial Services
Job Summary
Reviews and processes billing both electronic and manual claims as well as keeping updated with the ever-changing insurance demands and reviewing rebill requests. Identifies and problem solves billing inaccuracies while keeping statistics of errors found and updating info in AM/PFM as needed. Ensures all claims are submitted both accurately and timely. Manually prepares all special handling claims as well as bill secondary insurance and print/request necessary attachments such as medical records and itemized. Calculates and posts allowances for Medicaid accounts and maternity package plans as well as adjusts off non-covered charges and others outlined by the individual insurance carriers. Verifies insurance eligibility for Medicaid and their HMO's while also searching for authorizations and specific provider numbers. Maintains knowledge and use of the SSI billing system as well as other related programs such as AM/PFM, AccessANYware, EQ Health, FEMMIS and Passport. Documents billing information and works closely with other related departments to ensure 'clean' claim submission.
Responsible for keeping abreast of and complying with all managed care contracts and third party billing regulations. Clears fatal edits on AM/PFM accounts to ensure “clean” claim submission to increase the number of daily claims worked by each biller and increasing revenue reimbursement. Receives and responds to incoming calls and representative requests in a professional and timely fashion promoting customer satisfaction. Works as a team member demonstrating time management skills and communicating new information or changes.
Required Qualifications
Require a minimum of three (3) years of experience with PC-related software with strong analytical computer skills. A Bachelor’s degree can substitute for the required experience.
Preferred Qualifications
Prefer experience in processing health insurance claims. Prefer demonstrated ability to cross train within the department. Prefer working knowledge of ICD-10 and CPT coding. Require the ability to type minimum of thirty (45) words per minute. Prefer Certified Patient Account Technician (CPAT) or Certified Revenue Cycle Specialist (CRCS). Prefer the ability to use a 10 key adding machine both quickly and accurately. Prefer the ability to communicate effectively with patients and the public demonstrating a high level of professionalism. Prefer demonstrated interpersonal skills including the ability to handle difficult situations diplomatically. Prefer demonstrated computer literacy with windows based programs. Prefer demonstrated effective oral and written communication skills.
Mandatory Education
HS EQ: High School Diploma, GED or Certificate
Preferred Education
Required License and Certs
Preferred License And Certs
Full time, onsite, Mon-Fri Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Sarasota Memorial Health Care System by 2x Get notified about new Billing Coordinator jobs in
Sarasota, FL . Accounts Payable & Receivable Specialist
Sarasota, FL $55,000.00-$65,000.00 5 days ago **Now Hiring Patient Billing Advocates, Medicaid Coordinators & Medicare Coordinators
Accounts Receivable Operations Specialist
Sarasota, FL $40,000.00-$55,000.00 2 weeks ago Customer & Warranty Services Administrative Assistant
Assistant to Director of Advancement & Communications
000260 - PSA Clinical-Front Office - Front Office Support
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr