- Researches, verifies, updates, and assures the accuracy of information in the medical billing system and the Sunstar Membership Program.
- Processes medical billing claims.
- Reviews medical cases to determine if some or all expenses should be billed to Medicare, Medicaid, insurance companies, or other agencies and corresponds and follows through with agencies to ensure funds are collected.
- Assists in training employees on proper billing procedures.
- Trains new hires and cross trains current employees on various procedures.
- Assists with patient service walk-ins.
- Interprets medical information provided on run reports and applies appropriate medical coding.
- May audit, review, and process accounts and may perform complex case related functions.
- Reviews and maintains Quality Assurance reports.
- May conduct investigations and audits to resolve problems from misapplied funds or dormant accounts.
- May assist and fill in for supervisory level positions by resolving staff or customer problems and scheduling, assigning, and prioritizing duties to employees to ensure workload is accomplished.
- Performs a variety of tasks related to an automated office environment.
- Processes credit card payments via mail and/or by phone.
- Processes both cash and check payments received via mail or walk in customers and issues receipts as necessary;
- Prepares reports and performs special projects as required;
- Performs other related job duties as assigned.
- Proficiency with Microsoft Windows, Word, Excel, and Adobe Acrobat.
- Proficiency with working with various automated software applications.
- Assignment to work a variety of customer service and administrative tasks including compulsory work periods in special, emergency, and/or disaster situations.
- Three years' experience in medical billing, claim analysis, denial review, or secondary billing workflow functions; or
- An equivalent combination of education, training, and/or experience.
- Five years' experience in medical billing, claim analysis, denial review, or secondary billing workflow functions; or
- An equivalent combination of education, training, and/or experience.
- Medical billing or coding experience.
- High degree of attention to details.
- Fast and accurate data entry skills.
- Experience working with numbers and high degree of attention to details.
- Experience working with Zoll, RescueNet billing software.
- Experience worth with HIPAA, Medicare and Medicaid regulations.
- Experience working with Medicare, Medicaid, or Commercial Insurance plans and Explanation of Benefits.
- Experience working with insurance eligibility verification through a clearinghouse or various other on-line websites.
- Excellent reliability.
- Looking for a strong retirement? We have you covered as members of the Florida Retirement System (FRS) with investment and pension options.
- We have deferred compensation programs and wellness centers to name a few perks. Check out these and more
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Medical Billing Specialist 1 or 2 - Clearwater, United States - Pinellas County FL
Description
Medical Billing Specialist - 1 or 2
Location: Ulmerton Rd., Largo, FL
Schedule: Monday - Friday, 8am to 5 pm
Come work in a fast-paced high-energy office, utilizing your medical billing expertise. Pinellas County Ambulance Billing is one of the largest ambulance providers in the country and is the exclusive ambulance provider for Pinellas County. Our vision is to be nationally recognized as the industry leader in ambulance billing. If you thrive in a fast-paced, challenging environment in a dynamic industry, this is the opportunity you have been looking for with great benefits
Performs complex clerical and financial work reviewing, processing, and researching specialized records with substantial financial impact in an automated office environment; oversees the Emergency Medical Services (EMS) medical billing system with emphasis on ensuring funds due to the County are received from insurance companies, Medicare, Medicaid, or other involved agencies; maintains close contact with the County Attorney's Office in ensuring the collection of funds owed and in resolving issues related to estate cases, auto accidents, etc.
What Would You Do?
What Do You Need To Have?
Medial Billing Specialist 1
Medical Billing Specialist 2
Highly Desirable
Our benefits rank among the top in the area
Want To Learn More?
Please review the full classification description with the Physical/Mental Demands, Working Conditions, and Knowledge, Skills, and Abilities at the below link.
