Medical billing office for a large group of surgeons.
Work with insurance carriers regarding claim status and denial management. Follow-up on the payer Explanation of Benefits. Assure timely collection of accounts receivable, monitoring the account activity and providing adequate follow-up to ensure maximum reimbursement is received. Maintain quantity and quality of assigned work.

Responsibilities:

• Take appropriate action on denied charges to ensure claims are paid on the first follow-up call or appeal
• Work assigned worklists, aging and denial reports to accomplish the set goal for the position
• Responsible for learning, understanding and following payer guidelines
• Notify management of payer policy changes
• Ensure appropriate information is submitted to insurance companies in order to expedite payment
• Complete appropriate adjustments and refund requests based on contract, modifiers or appeal denials
• Handle incoming calls for information requests from insurance companies and patients
• Reallocate misapplied payments and adjustments
• Work special projects, as assigned
• Utilize coding resources (CPT, ICD-10) to understand procedures that are denied
• Document accounts correctly for actions taken
• Ensure compliance with all company policies and procedures
• All other duties assigned by the manager to support the goals of the billing office

Requirements:

• High school diploma or equivalent
• Knowledge of medical insurance, medical billing software, and basic medical terminology is required
• Minimum of two years accounts receivable, medical billing, insurance eligibility, authorization/referral experience is preferred
• PC literate in Excel, Word, and Outlook
• Working knowledge of Medicare, Medicaid, and Commercial insurance is preferred
• Excellent communication skills
• 40-hour work week, office environment, NO REMOTE.

Job Type: Full-time
Pay: $16.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental Pay:

• Bonus opportunities

Education:

• High school or equivalent (Required)

Experience:

• medical billing: 1 year (Required)

Ability to Commute:

• Saint Petersburg, FL 33702 (Required)

Work Location: In perso

• Take appropriate action on denied charges to ensure claims are paid on the first follow-up call or appeal
• Work assigned worklists, aging and denial reports to accomplish the set goal for the position
• Responsible for learning, understanding and following payer guidelines
• Notify management of payer policy changes
• Ensure appropriate information is submitted to insurance companies in order to expedite payment
• Complete appropriate adjustments and refund requests based on contract, modifiers or appeal denials
• Handle incoming calls for information requests from insurance companies and patients
• Reallocate misapplied payments and adjustments
• Work special projects, as assigned
• Utilize coding resources (CPT, ICD-10) to understand procedures that are denied
• Document accounts correctly for actions taken
• Ensure compliance with all company policies and procedures
• All other duties assigned by the manager to support the goals of the billing offic