Medical Billing Specialist

Job Description

Job Description

Job descriptionMedical Billing Specialist/Front Office SupportWe are looking for a competent, conscientious, service-oriented individual with strong character to perform medical billing functions at one of our gastroenterology practices. This individual will provide exceptional customer service while primarily being responsible to perform billing related functions. The Billing Specialist is expected to be knowledgeable of the specific provisions in the managed care contracts as they relate to billing/reimbursement and shall be most current with coding policy and patient confidentiality requirements. This individual is expected to be flexible to perform a variety of duties. This position requires strong interpersonal skills to regularly interact professionally, promptly, and courteously with patients, physicians and their offices and other organizations' personnel to maintain strong public and community relations while responding to their inquiries/requests. May be assigned additional delegated responsibilities and special assignments. They will work under the direction of the division's Office Manager and Gastro Florida's Billing Director.Role:Charge Entry/Billing-Responsible for accurate coding according to compliance guidelines, and for assigning and verifying ICD-10and CPT codes, based on provider documentation-Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards-Knowledge of documentation and coding for Risk Adjustment-Maintain working knowledge of CPT and ICD 10 coding principles, and third-party requirements pertaining to billing and documentation-May perform insurance verifications and update EHR-Researches discrepancies and provides problem resolution-Charge entry and posting payments-Responsible for follow-up with various insurance companies-Provides superior customer service to patients and vendorsAdditional Billing/Telephone- Patient registration if scheduling new patient.- Charge capture of physician services as necessary.- Participate in patient financial assistance.- Maintain current with HIPAA and other compliance training.- Reconcile daily charges and payments received; and prepare daily bank deposit.- Assist in collection efforts via phone.Other Duties as AssignedExperience:Medical billing: 2 years (Required)Medical office: 2 years (Required)Specialty office: 1 year (Required)License/Certification:CCMA Certification (Preferred)  Criminal background and drug screening required as well as excellent professional references.