Billing Specialist

Billing Specialist

Administration office Fort Myers, FL

Job Summary: The Billing Specialist is responsible to provide support to providers, coworkers and customers internally and externally on billing related inquiries. The employee works/reviews all claims prior to their submission using department guidelines and Athena.

Responsibilities & Standards:

• Demonstrate excellent interpersonal skills with patients, coworkers and insurance carriers.
• Well-versed with all HIPAA Guidelines to ensure the protection of patient information from unauthorized inquiries.
• Process and post payments when necessary
• Works hold accounts in Athena within a timely manner
• Resolve patient complaints within a minimal timeframe, same day whenever possible
• Meet timelines for reprocessing Athena claims after updating the account with new information as provided by patients or physicians within the guidelines and timeframes permitted by the insurance carrier
• Advanced knowledge of CPT codes and modifiers
• Phones answered & voicemails returned within same day
• Claim adjudication carrier rules knowledge
• Conducts themselves in accordance with Elite DNA Therapy Services Policies and Procedures including the Code of Conduct
• Meets or Exceeds monthly performance goals, expectations and reviews
• Uses Paid Time Off effectively
• Keeps overtime to a minimum/has any overtime approved by Director
• Actively participates in team meetings and educational opportunities
• Performs other duties as assigned.

Requirements

Education/Training Level:

• Thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers and fee schedule differences.
• Requires understanding of how to decipher explanation of benefits and explain the impact to the customer.

Licenses and Certifications: None

Communication Skills:

• Proficient oral and written communications, and project management skills.
• Excellent attention to detail, problem-solving and customer service
• Ability to conduct telephone conversations with patients regarding account resolution and payment collection.
• Must demonstrate positive interpersonal relationship skills with individuals and groups in a wide variety of settings
• Insurance terminology knowledge essential

Technology Skills:

• Effectively uses Electronic Health Records
• Typing Skills

Compensation: $20.00$23.00/hour, commensurate with experience and qualifications.