Responsible for timely, accurate, and comprehensive billing of all provider services using appropriate CPT, HCPCS, and ICD-10 diagnosis codes. Prepares and submits clean claims to Medicare, Medicaid, commercial insurance carriers, and self-pay patients, and works claim rejections.
Key responsibilities include claim submission based on medical record review and payer guidelines, accurate charge entry, timely filing with clearinghouses or payers, correction of claim edits, private pay collections after insurance cancellation or denial, answering patient questions about balances, and preparing patient statements for uncovered charges. Other duties as assigned.
Knowledge
- Demonstrated knowledge of Medicaid, Medicare, and commercial insurance rules and procedures in a managed care plan environment
- Medical terminology and CPT, HCPCS, and ICD-10 coding and modifier usage
- Understanding of FQHC billing procedures and sliding fee schedules is a plus
- EHR systems experience, preferably Intergy or another ambulatory care facility-based system
- Understanding of HIPAA guidelines
- MS Office Suite proficiency, especially Excel
- Alpha-numeric data entry skills
Skills and qualifications
- High school diploma or equivalent; associate degree preferred
- 2 years of medical billing experience
- CMRS, CPB, or CPC credentials are a plus
- Strong attention to detail, documentation, analytical, and problem-solving skills
- Ability to multitask in a fast-paced environment
- Strong interpersonal, written, and verbal communication skills
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago