Responsible for accurate and timely inpatient and outpatient billing, claims follow-up, denial reviews, and auditing accounts for accuracy. Works closely with Intake, UR, and Medical Records. Requires a solid understanding of insurance contracts, strong analytical skills, the ability to work unsupervised, proficiency in Microsoft Excel, strong attention to detail, and a strong work ethic.
This role requires a comprehensive understanding of accounts receivable management in a healthcare setting, along with strong customer service, organizational, and communication skills. The position also requires the ability to prioritize multiple tasks in a sometimes stressful environment and maintain compliance with OSHA and HIPAA guidelines.
Qualifications
Education
- High school diploma or GED required
- Basic medical terminology required
- Bachelor's degree in a healthcare or business-related field preferred
- Experience may substitute for education
Experience
- 1 to 2 years of related experience required
- Knowledge of insurance payer rules and regulations required
- Experience in a HIPAA-regulated environment preferred
- Experience processing ICD-10, CPT/HCPCS, EOBs, third-party payers, Medicare, managed care, and private pay preferred
- Understanding of behavioral health treatment modalities preferred
- Experience with HCS system is a plus
Skills
- Strong analytical and problem-solving skills
- Proficiency in Microsoft Excel and general computer skills
- Strong attention to detail
- Excellent customer service, organizational, and communication skills
- Ability to work independently and manage multiple priorities
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago