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, and the ability to work independently in a healthcare environment.
This role supports accounts receivable management, patient account accuracy, claims resolution, and adherence to hospital policies, OSHA, and HIPAA guidelines.
Requirements & Qualifications
Required
- High school diploma or GED
- Basic medical terminology
- 1 to 2 years of related experience
- Knowledge of insurance payor rules and regulations
- Strong customer service, organizational, and communication skills
- Proficiency with Microsoft Excel and general computer/typing skills
- Ability to work independently and manage multiple tasks in a stressful environment
- Working knowledge of OSHA and HIPAA guidelines
Preferred
- Bachelor's degree in a healthcare or business-related field
- Experience in a HIPAA-regulated environment
- Experience with ICD-10, CPT/HCPCS, EOBs, third-party payers, Medicare, managed care, and private pay
- Understanding of behavioral health treatment modalities
- Experience with HCS system
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago