Account Receivable Medical Representative at INTERCOASTAL MEDICAL GROUP

, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Aug, 26

Salary

19.0

Posted On

07 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance EOB Processing, Claims Denial Investigation, Medical Coding, Medical Billing, Patient Confidentiality, Medical Terminology, ICD Codes, CPT Codes, Computer Skills, Verbal Communication, Time Management, Organizational Skills

Industry

Medical Practices

Description

Founded in 1993, Intercoastal Medical Group is a professional association of more than 100 highly credentialed physicians encompassing many medical specialties. Intercoastal is committed to providing the highest quality care possible by offering superior healthcare to adults no matter their medical need. At our 10 convenient locations in Sarasota and Bradenton, Florida, our patients benefit from a seamless and efficient transfer of expertise and information, creating a unique continuum of care. Intercoastal Medical Group offers advanced digital imaging like MRI, ultrasound, mammography, and more. We also have our own state-of-the-art surgical center for outpatient procedures. For additional information about Intercoastal, visit www.intercoastalmedical.com [https://www.intercoastalmedical.com/] Intercoastal is a drug free workplace and EEO compliant. Salary will commensurate with medical billing experience including coding certification. The Accounts Receivable Specialist is responsible for accurately processing insurance explanation of benefits (EOB’s), investigating denials, communicating with the insurance companies, Claims Scrubbers, sites, and customer service regarding claims, re-bill claims and works aging and ERA reports in a timely manner. Location: 943 S Beneva Road in Sarasota, FL 34232 ESSENTIAL DUTIES * Investigate claims denials; refund request and/or other billing issues * Re-bills/reprocesses claims correctly * Research coding issues using appropriate resources (Supercoder, NCCI, CPT, payer websites, etc.) * Quarterly review assigned payer insurance updates * Utilization of the practice management system and electronic medical record (includes but not limited patient notes, claim data, tasks) * Communicate with Coordinators regarding billing errors or denials * Read and/or acknowledge email correspondence daily * Acknowledge or work tasks daily EDUCATION * High School Diploma or Equivalent * Completion of a Medical Coding and Billing Program (preferred) CERTIFICATION/LICENSURE REQUIREMENTS * Medical Coding Certification optional (CPC-A or CPC) SKILLS AND ABILITIES * Basic knowledge and understanding of patient confidentiality * Knowledge of medical terminology * Strong computer skills * Knowledge of billing terminology (ICD and CPT codes) * Ability to type using appropriate grammar and spelling * Excellent phone etiquette and verbal communication * Ability to work independently on assigned tasks as well as take direction from coordinator/manager * Strong organizational and time management skills Monday-Friday, 8am-5pm

Responsibilities

The role involves processing insurance explanation of benefits, investigating claim denials, and communicating with insurance companies to resolve billing issues. The specialist is also responsible for re-billing claims and managing aging and ERA reports.