Medical Billing Specialist
ACE Healthcare Solutions
3 reviews
-
Tampa, FL 33634
Temporarily remote
ACE Healthcare Solutions
3 reviews
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Job details
Job Type
Full-time
Benefits
Pulled from the full job description
• Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Supplemental Pay:
Qualifications
• Experience: • medical billing, 2 years (Required)
• A/R, 2 years (Required)
• Education: • High school or equivalent (Required)
• Location: • Tampa, FL 33634 (Required)
• Work authorization: • United States (Required)
Full Job Description
Job Description
ACE Healthcare Solutions is seeking a full time experienced Medical Billing Specialis t for multiple accounts. This position will have the potential to grow within the company. We are looking for a positive person who is interested in being successful and help take our company to the next level of service. The seasoned professional for this job needs excellent communication and computer skills including familiarity with various Medical Billing Software’s as well as Microsoft Office Suite to include Outlook, Word, and Excel. We specialize in Federally Qualified Health Center (FQHC) billing. This person will be responsible for receivables from insurance companies, patients and any other parties billed by the facilities.
Overall Position Description:
The medical billing specialist is responsible for identifying and collecting balances from third-party carriers, submitted charges, following up on charges, gathering and disseminating information relating to billing and reimbursement as well as implementing policies, procedures and protocols to assist the needs of the organization with billing and reimbursement related issues. Providing training to departmental personnel as needed as well as clinicians as assigned by the director.
General Areas of Responsibility:
• Maintain designated percentage of collections as defined by the director
• Follow up on team activities including but not limited to outstanding third-party insurance accounts
• Prepare client and staff request forms
• Coordinates and reviews the day-to-day duties/achievements with unit lead, manager and director.
• Responsible for notifying unit lead, manager, and director of immediate or pending system errors, system problems, insurance plans not paying at the approved rates.
• Responsible for managing accounts, verifying eligibility, and converting the visit to the appropriate insurance plans.
• Identifies denial trends/patterns and reports to the director.
• Ensures all denials are identified and the items are worked to the fullest extent, corrected, and re-submitted in a timely manner.
• Write-off noncollectable accounts after approval from director.
• Assists in troubleshooting and reporting transmittal problems.
• Assists in the training of new employees as instructed by the billing director
• Manages staff corrections and/or re-files denials as appropriate.
• Performs other duties as assigned from time to time.
Required Knowledge, Skills, and Abilities:
• Must have 4+ years’ experience working in direct claim collections in medical billing.
• Excellent working knowledge of insurance carriers’ payment regulations including various reimbursement schemes, coinsurance and deductibles, and contractual adjustments
• Excellent communication and problem-solving skills
• Knowledge of Medicare, Medicaid, managed care and commercial insurances
• Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
• Reduces claims in the over 60-day+ categories
• Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
• Maintains relationships with insurance companies
• Strong interpersonal and communications skills to be able to work successfully in a team-oriented environment
Qualifications:
• Minimum Education level: High school
• Associates Degree from college preferred or Certificate from a technical school for billing
• Must have the working knowledge of medical terminology
• Must have the working knowledge of ICD-10/ICD-9 and CPT coding (minimum 5 years)
• Must have working knowledge in Managed Care, Government Payers, and Private Payer.
• Must be able to work with minimal supervision
• Must be well organized and offer leadership to the team
Job Type: Full-time
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
Schedule:
• 8 hour shift
• Day shift
• Monday to Friday
Supplemental Pay:
• Bonus pay
COVID-19 considerations:
To keep our staff safe, we've moved our Tampa team to work remotely from home.
Experience:
• medical billing: 2 years (Required)
• A/R: 2 years (Required)
Education:
• High school or equivalent (Required)
Location:
• Tampa, FL 33634 (Required)
Work authorization:
• United States (Required)
Work Location:
• One location
This Company Describes Its Culture as:
• Detail-oriented -- quality and precision-focused
• Outcome-oriented -- results-focused with strong performance culture
• Team-oriented -- cooperative and collaborative
Company's website:
• http://acehealthcaresolutions.com/
Benefit Conditions:
• Waiting period may apply
• Only full-time employees eligible
Work Remotely:
• Temporarily due to COVID-19