Medical Billing Specialist at Blue Star Partners LLC Orlando, FL

Job Title: Medical Billing Specialist Location: Orlando, FL – Onsite – Local candidates only Period: 07/12/2024 to 12/16/2024 - possibility of extension Hours/Week: 40 hours (Hours over 40 will be paid at Time and a Half) Rate: $23-$25/hour Contract Type: W-2 Scope of Services The Medical Billing Specialist is a pivotal member of our team, ensuring that the company meets its monthly financial goals. This role requires a diverse skill set and competencies to effectively communicate, negotiate, analyze, and resolve issues with payers and patients while adhering to HIPAA and PHI regulatory requirements. Role, Responsibilities, and Deliverables Assure compliance with HIPAA, PHI regulatory, and related policies and practices throughout all phases of client information processing. Report any compliance issues to the Director of Operations promptly. Coordinate the insurance verification process and ensure clients understand their co-pay responsibilities. Follow up as necessary to facilitate the collection of co-pays. Gather credit card or other payment processing information from clients as necessary and enter it into the system for payment processing. Manage the entry of client information into the computer system in a timely manner. Contact referral sources, customers, and/or clients to obtain missing information needed to set up clients for service, ensuring accuracy and completeness. Confirm all sales orders in the system and ensure that all required documentation (e.g., proof of delivery, signed prescriptions, signed acknowledgment forms) is on file before submitting claims for payment. Follow up on missing sales orders and reconcile billing questions regularly until payment status is complete. Submit claims (electronic and paper) to payers in a timely manner. Correct and resubmit front-end and back-end rejected claims as needed. Ensure all cash is posted to the correct account promptly. Follow up and collect payments due to the organization by generating invoices and following up with clients and/or payers. Stay updated on current regulatory guidelines and reimbursement information to ensure accurate billing and reimbursement. Perform other duties/projects as assigned by management, including customer service support, processing, resolving, and logging customer inquiries. Key Skills and Competencies Attention to detail, ensuring accuracy in all tasks. Excellent communication and listening skills. Proficient in documenting accounts with detail and critical thinking. Ability to read an explanation of benefits (EOB). Strong analytical skills for effective collections management. Familiarity with various tools and systems used in medical billing. Proven problem-solving skills to overcome challenges in the billing process. Exceptional customer service skills to maintain positive relationships with customers and payers. Effective time management to prioritize tasks and meet deadlines. Excellent attendance record. Education & Experience Minimum of 2 years of experience in medical billing or a related field. Proficiency in medical billing software systems such as [insert specific software names]. Demonstrated understanding of HIPAA and PHI regulatory requirements. Experience in coordinating insurance verification processes and managing co-pay collections. Proven track record of accurately entering and managing client information in computer systems. Familiarity with claim submission processes and experience in correcting and resubmitting rejected claims. Strong communication skills with the ability to effectively interact with clients, payers, and internal teams. Prior experience in handling customer inquiries and providing excellent customer service. Ability to work independently and as part of a team in a fast-paced environment. Previous training or certification in medical billing or a related field is a plus. #J-18808-Ljbffr