Responsible for verifying patient insurance coverage, ensuring accurate billing codes, submitting claims to payers, and following up on denied claims. This role resolves billing discrepancies, communicates with insurance companies to clarify coverage details, updates patient accounts, and supports patients with understanding their benefits and payment responsibilities. The position also involves interpreting managed care payment methodologies, documenting correspondence from auditing bodies, and maintaining compliance with billing regulations.
Requirements & Qualifications
- High school diploma or equivalent.
- 1+ years of experience in a revenue cycle department or related area such as registration, finance, collections, customer service, medical, or contract management.
- Ability to work with advanced billing procedures.
- Working knowledge of coverage, payment, compliance, and basic billing rules for government and managed care payers.
- Basic understanding of explanation of benefits (EOB).
- Basic knowledge of CPT, ICD-10, and HCPCS coding standards.
- Strong organizational, keyboarding, and 10-key skills.
- Proficiency in Microsoft Excel, Word, and Outlook.
- Ability to communicate effectively in writing and verbally with diverse populations.
- Ability to multitask, prioritize, and problem-solve in a fast-paced environment.
- Preferred: comfort interpreting payer contractual language and navigating payer portals for remittance research.
Benefits & Perks
- Medical, dental, and vision insurance
- Life insurance
- Disability insurance
- Paid time off from day one
- 403(b) retirement plan
- 4 weeks of 100% paid parental leave
- Career development opportunities
- Whole-person well-being resources
- Mental health resources and support
- Pet benefits
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago