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    Billing Specialist - Jacksonville, United States - North Florida Surgeons

    North Florida Surgeons
    North Florida Surgeons Jacksonville, United States

    3 weeks ago

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    Description

    Job Description

    Job DescriptionDescription:

    Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement.

    Responsibilities:

    • Reporting of carrier performance according to contracted fee schedule
    • Denial management
    • Good oral and written communication skills
    • Effective Problem-solving skills and make independent decisions
    • Work effectively in a team environment
    • Perform consistent, assertive, efficient and timely follow-up on accounts as determined by Management
    • Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements
    • Medicare, Medicaid, and/or third party payer experience in dealing with healthcare insurance companies through phone follow-up and letter correspondence during the appeals or denial resolution process
    • Corrects billing errors, edits, overlaps, etc., and submit clean claims
    • Review payment variances and remittances for resolution in an efficient and timely manner for processing of patient and/or insurance refunds.
    • Identify payer issues or trends and update Manager in a timely manner, providing concrete examples for Management to review.
    • Other duties as assigned.
    Requirements:
    • Minimum of a high school diploma, coding and billing courses helpful.
    • Additional training in Athena and Trizetto a plus.
    • Skill in computer applications

    Full time - Monday to Friday

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