Metro Inclusive Health
Medical Billing and AR Specialist
Metro Inclusive Health, St. Petersburg, Florida, United States, 33739
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Medical Billing and AR Specialist
role at
Metro Inclusive Health
Statement of Purpose: This position is accountable for all steps in the billing process including processing medical, psych, behavioral health claims information through data-entry in the EMR, and researching and correcting data entry errors using eClinicalWorks. This position uses knowledge of CPT and ICD-10 codes to accurately depict medical claim information. This position is in a primary care and behavioral health social service setting with specialized LGBTQ+ care and services. Excellent benefits and sign on bonus. Position starts in office with potential for hybrid position.
Primary Tasks/Responsibilities
Review claims data to ensure that assigned codes meet required legal and insurance rules, and that required signatures and authorizations are in place prior to submission
Submitting claims for services rendered to insurance companies/payers.
Posting payments based on remittance advice, cash/credit/check payments as needed.
Working directly with the insurance company, the patient, and clinic staff to get claims appropriately processed and paid timely.
Working Billing Queues including but not limited to AR follow-up, clearinghouse rejections, denials, insurance aging, pending with errors and patient self-pay accounts.
Reviewing and appealing denied and unpaid claims.
Monitoring and updating patient AR balances.
Tracking and updating the Aging Report and working patient accounts for accuracy.
Answering questions patients or payers may have about billing.
Reviewing patient bills for accuracy and completeness and obtain any missing information.
Handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when there is a lapse in payment.
Must be able to commute to administrative office in St. Petersburg FL for training period.
Education/Professional
Minimum of 2 years of experience as a medical billing specialist in primary care and behavioral health setting highly preferred.
Experience working with multiple third party payers including Medicaid, Medicare, Managed Care, HMO/PPOs.
Knowledge, Skills And Competencies Required
Strong knowledge of and able to easily navigate Medicaid, Medicare, HMOs, and private payer systems
Knowledge of EMR systems, preferably with eClinicalWorks.
Microsoft suite and data systems proficiency, including Electronic Medical Records.
Ability to effectively communicate both written and verbally.
Ability to effectively utilize problem-solving and decision-making techniques.
Ability to make effective judgments and decisions based on objective criteria.
Attentive to detail and strong organizational skills.
Ability to tactfully interact with diverse personalities.
High comfort working in a busy environment with changing priorities.
Requirements
Must possess and maintain valid Florida driver’s license and proof of insurance
Must have reliable and accessible auto vehicle.
Must pass necessary fingerprinting, Level II background checks and employment eligibility verification through the U.S. Department of Homeland Security’s E-Verify system, https://e-verify.uscis.gov/emp.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Medical Practices
Referrals increase your chances of interviewing at Metro Inclusive Health by 2x
Sign in to set job alerts for “Medical Biller” roles. #J-18808-Ljbffr
Medical Billing and AR Specialist
role at
Metro Inclusive Health
Statement of Purpose: This position is accountable for all steps in the billing process including processing medical, psych, behavioral health claims information through data-entry in the EMR, and researching and correcting data entry errors using eClinicalWorks. This position uses knowledge of CPT and ICD-10 codes to accurately depict medical claim information. This position is in a primary care and behavioral health social service setting with specialized LGBTQ+ care and services. Excellent benefits and sign on bonus. Position starts in office with potential for hybrid position.
Primary Tasks/Responsibilities
Review claims data to ensure that assigned codes meet required legal and insurance rules, and that required signatures and authorizations are in place prior to submission
Submitting claims for services rendered to insurance companies/payers.
Posting payments based on remittance advice, cash/credit/check payments as needed.
Working directly with the insurance company, the patient, and clinic staff to get claims appropriately processed and paid timely.
Working Billing Queues including but not limited to AR follow-up, clearinghouse rejections, denials, insurance aging, pending with errors and patient self-pay accounts.
Reviewing and appealing denied and unpaid claims.
Monitoring and updating patient AR balances.
Tracking and updating the Aging Report and working patient accounts for accuracy.
Answering questions patients or payers may have about billing.
Reviewing patient bills for accuracy and completeness and obtain any missing information.
Handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when there is a lapse in payment.
Must be able to commute to administrative office in St. Petersburg FL for training period.
Education/Professional
Minimum of 2 years of experience as a medical billing specialist in primary care and behavioral health setting highly preferred.
Experience working with multiple third party payers including Medicaid, Medicare, Managed Care, HMO/PPOs.
Knowledge, Skills And Competencies Required
Strong knowledge of and able to easily navigate Medicaid, Medicare, HMOs, and private payer systems
Knowledge of EMR systems, preferably with eClinicalWorks.
Microsoft suite and data systems proficiency, including Electronic Medical Records.
Ability to effectively communicate both written and verbally.
Ability to effectively utilize problem-solving and decision-making techniques.
Ability to make effective judgments and decisions based on objective criteria.
Attentive to detail and strong organizational skills.
Ability to tactfully interact with diverse personalities.
High comfort working in a busy environment with changing priorities.
Requirements
Must possess and maintain valid Florida driver’s license and proof of insurance
Must have reliable and accessible auto vehicle.
Must pass necessary fingerprinting, Level II background checks and employment eligibility verification through the U.S. Department of Homeland Security’s E-Verify system, https://e-verify.uscis.gov/emp.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Medical Practices
Referrals increase your chances of interviewing at Metro Inclusive Health by 2x
Sign in to set job alerts for “Medical Biller” roles. #J-18808-Ljbffr