Forensic Account Biller & Collector

Job Description

Job Description

Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment.

GENERAL JOB DESCRIPTION

Under the direction of the Business Office Director, the Forensic Account Biller and Collector is responsible for the timely and accuracy submission of hospital and/or physician medical claims for forensic accounts. Ensuring timely reimbursement of claims, and consistent cash flow. Responsible for investigating instances of incomplete claims, appropriately corrects them prior to resubmitting.

DUTIES AND RESPONSIBILITIES

• Responsible for the electronic transmissions of hospital and/or physician claims through the clearinghouse.
• Responsible for verifying all appropriate documentation is obtained following CMS guidelines.
• Ensures all claims are submitted with a goal of zero errors.
• Follow proper medical and insurance claim processes.
• Review and analyze remittance advice and claims to resolve billing issues.
• Contact vendors to follow up on outstanding claims.
• Maintain up-to-date knowledge of medical billing and collection regulations and guidelines.

QUALIFICATIONS FOR THE JOB

Education:

High School diploma of equivalent (additional certifications or education in medical billing/coding preferred)

Experience :

1-3+ years of experience in medical billing and collections preferred.

Other:

• Proficiency in medical terminology, coding systems and medical billing procedures.
• Strong attention to detail.
• Excellent communication skills.
• Knowledge of administrative and clerical procedures and systems such as word processing, outlook and excel.