- Initiates Prior Authorization submissions and completes all follow ups for all insurance Payors including Medicare Advantage, Medicaid's, HMO, PPO, and Commercial until the case has reached a determination.
- Compiles pre-certification information to submit prior authorization requests via outbound phone calls and/or web-based sites (familiarity with payors).
- Performs regular follow-up calls with insurance companies to check status of prior authorization request. Logs approval in database.
- Conducts outbound and/or inbound calls to patients, doctor's offices, insurance companies as necessary or required to complete tasks.
- Ensures proper documentation is received and recorded before processing additional supplies to patients, per compliance guidelines.
- Ensures accurate entry and update of changes as requested by physicians and/or patients.
- Maintains working knowledge of billing guidelines and resources for Medicare and Private Insurances.
- Recognizes and reviews billed orders to effectively request authorization for upcoming refills.
- Researches, follows up, and resolves all open/pending Authorizations in a timely manner.
- Develops and maintains knowledge of all products and services offered by the company.
- Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
- Maintains accurate and detailed notes in the company system.
- Adapts quickly to frequent process changes and improvements.
- Is reliable, engaged, and provides feedback as to improve processes and policies.
- Attends all department, team, and company meetings as required.
- Appropriately routes incoming calls when necessary.
- Meets patient service quality standards.
- Embraces and exemplifies ADS core values:
- May perform any additional responsibilities or special projects as required.
- Duties and responsibilities may be subject to change based upon the needs of the department.
- High School diploma or equivalent
- Knowledge of insurance verification and/or authorization, billing, and processing claims
- Basic knowledge of billing guidelines and resources for Medicare and Private insurances
- Basic knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices
- Proficiency in basic math and business calculations
- Working knowledge of computer/data entry with the ability to learn new systems
- Basic level of MS Office proficiency
- Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations
- Ability to work well in a team environment that promotes inclusiveness and communication among team members
- Effective interpersonal skills
- Clear diction and knowledge of the English language, both written and verbal
- Detail oriented, highly organized; able to work at a fast, productive pace
- Service-orientation and aptitude to resolve insurance and/or patient matters
- Self-directed accountability and reliability
- Cultural competence
- Candidates must successfully pass a background check.
- Candidates must be able to provide proof of eligibility to work in the United States without support; sponsorship is not available.
- Health, Dental & Vision options
- FSA and HSA plan with Employer Contribution
- Employer paid EAP
- 401k with 4% Company Match
- Discretionary Profit-Sharing Plan
- Paid Time Off (PTO) Including 8 Paid Holidays and a Birthday Holiday
- On-Site Gym
- In-house Training Programs
- A fun culture in a fast-growing organization
-
Billing Specialist
1 week ago
428 Health Care Hollywood, United StatesThe Billing Specialist is responsible for Medicaid billing. The Billing Specialist is expected to resolve submission issues, provide requested invoices, and answer inquiries regarding the billing. Attention to detail, self-motivated and problem-solving skills are essential for su ...
-
Billing Specialist
3 days ago
Legal Search Solutions Inc Miami, United StatesJob Description · Job DescriptionBilling Specialist Law Firm · Established Law Firm is seeking a Billing Specialist with law firm experience to join a prestigious law firm in Downtown of Miami The candidate will work closely with other members of the accounting area including the ...
-
Billing Specialist
1 week ago
Legal Search Solutions Inc Miami, United StatesJob Description · Job DescriptionBilling Specialist Law Firm · Established Law Firm is seeking a Billing Specialist with law firm experience to join a prestigious law firm in Downtown of Miami The candidate will work closely with other members of the accounting area including the ...
-
Billing Specialist
6 days ago
Segrera Associates Miami, United StatesJob Description · Job DescriptionWe are seeking Billing Specialists to join a dynamic team. The ideal candidate will have experience in an environment with ticket systems and is comfortable interfacing with clients to address billing concerns and resolve potential discrepancies. ...
-
Billing Specialist
4 days ago
KIDZ MEDICAL SERVICE. Miami, United StatesJob Description · Job DescriptionSUMMARY: Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing. · DUTIES AND RESPONSIBILITIES: · Codes for assigned physicians, locations, and/or d ...
-
Billing Specialist
3 days ago
Promises Behavioral Health, LLC Miami, United StatesJob Description · Job DescriptionNOTE: Experience within the Behavioral Health Industry is required. This is a fully remote position, however we are recruiting specifically from the South Florida region. · Position Summary · Responsibilities involve billing of institutional and ...
-
Medical Billing Specialist
1 week ago
NeueHealth Doral, United StatesJOB SUMMARY · The Medical Billing Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Clas ...
-
Billing Specialist I
1 day ago
Advanced Diabetes Supply Miami, United StatesJob Description · Job DescriptionDescription:$2,500 Sign On Bonus · About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable, and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to ...
-
Billing Specialist I
1 week ago
Advanced Diabetes Supply Miami, United StatesJob Description · Job DescriptionDescription:$2,500 Sign On Bonus · About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to s ...
-
Billing Specialist I
1 day ago
Advanced Diabetes Supply Miami, United StatesJob Description · Job DescriptionDescription:$2,500 Sign On Bonus · About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to s ...
-
Billing Specialist I
1 day ago
Advanced Diabetes Supply Miami, United StatesJob Description · Job DescriptionDescription:$2,500 Sign On Bonus · About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to s ...
-
Billing Specialist I
1 week ago
Advanced Diabetes Supply Miami, United States:$2,500 Sign On Bonus · About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanc ...
-
Billing Specialist I
1 week ago
Advanced Diabetes Supply Miami, United States OTHER:$2,500 Sign On Bonus · About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable, and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advan ...
-
Billing Specialist I
1 week ago
Advanced Diabetes Supply Miami, United States OTHER:$2,500 Sign On Bonus · About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanc ...
-
Certified Billing and Coding Specialist
6 days ago
Aba Star Therapy Hollywood, United StatesJob Summary: · We are seeking a skilled and detail-oriented Coding Specialist to join our team. As a Coding Specialist, you will be responsible for accurately assigning medical codes to diagnoses and procedures in order to ensure proper billing and reimbursement. Your expertise i ...
-
Medical Billing and Coding Specialist
4 days ago
P1 Dental Partners Miami, United StatesWe are currently seeking a skilled and dedicated individual to join our team as a remote Medical Billing and Coding Specialist. This is a fantastic opportunity for someone looking to work from the comfort of their own home, while still making a positive impact in the healthcare i ...
-
Billing Specialist
6 days ago
Legal Search Solutions Doral, United StatesJob Description · Job Description · Billing Specialist Law Firm · Established Law Firm is seeking a Billing Specialist with law firm experience to join a prestigious law firm in Downtown of Miami The candidate will work closely with other members of the accounting area includin ...
-
Billing Specialist
6 days ago
Triumph Professional Staffing Doral, United StatesPosition Summary · The Billing Specialist assists attorneys with the accurate and efficient preparation of bills for clients, ensuring that the client invoices are processed timely and in accordance with the client agreement. · We will consider candidates for this position in M ...
-
Billing Specialist
1 week ago
Quintairos, Prieto, Wood & Boyer PA Doral, United StatesOverview · Quintairos, Prieto, Wood & Boyer, P.A., a multi-office national firm has an immediate opening for a Billing Specialist to join our Miami Administrative Office. This is a full time position, competitive salary and benefits package offered. · This position handles the ...
-
Billing Specialist
6 days ago
Greenberg Traurig Doral, United States· Greenberg Traurig, a global law firm, currently has an excellent full-time employment opportunity in the Revenue Management Department of our Miami office. We offer competitive compensation and an excellent benefits package. · Position Summary: · The Billing Specialist is re ...
Billing Specialist I - Miami, United States - Advanced Diabetes Supply
Description
:$2,500 Sign On Bonus
About Our Company
Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don't just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you've been looking for.
Interested in learning more about our company and its culture? Visit us at
About the Position
Schedule: 8:00 AM to 4:30 PM EST, Monday to Friday
Location: Hybrid in Doral, FL with 1st 90 days Fully Onsite
Position Summary
The Billing Specialist is responsible for obtaining pre-certification and pre-authorizations for DME procedure codes by completing the authorization process with commercial payers. The Billing Specialist will work within the scope of responsibilities as dictated below with guidance and support from Insurance & Billing leadership teams.
Essential Functions
*We grow together
*We care
*We obsess over the customer experience
*We commit
*We WOW
Expected Competencies
Physical Demands
The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.
While performing the responsibilities of the job, the employee is required to remain in a stationary position most of the time (stand or sit). While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
Other Requirements
Equal Opportunity Statement
Advanced Diabetes Supply provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Pay Range and Compensation Package
Pay ranges may vary depending on location. The general pay range for this position is $17 - $18 per hour. Actual compensation depends on education, experience, and relevant skills. In addition, benefits include:
PM21
PI26aa265cf