Medical Billing Specialist

Medical Billing Specialist

Industry: Pharmaceutical/Biotechnology

Job Title: Medical Billing Specialist

Duration: 12 Months Contract (Possible Extension Based on Performance and Business Needs)

Location: Lake Mary, FL 32746

Shift: Monday–Friday | 8:00 AM – 4:30 PM EST | 8 Hours per Day

Number of Positions Needed: 2

Pay Range: $20.00 - $25.00 per hour

Job Description

• Assures that all phases of processing client information are in compliance with HIPAA, PHI regulatory and related policies and practices.
• Reports any Compliance issues to the Director of Operations.
• Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility.
• Responsible to follow-up as necessary to facilitate the collection of co-pays.
• When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account.
• Manages the entry of client information into computer system in a timely manner and contact of referral source, customer, and/or client to obtain missing information needed to set up client for service.
• Ensures that the data is accurate and complete.
• Confirms all sales orders in the system and ensures that all required information (e.g. proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment.
• Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete.
• Responsible for the timely submission of claims (electronic and paper as needed) to payers.
• Corrects and resubmits front-end and back-end rejected claims.
• Ensures that all cash is posted to the correct account in a timely manner.
• Responsible for the timely follow-up and collection of payments due to the organization.
• Uses available resources to maintain current regulatory guidelines and reimbursement information to ensure that all appropriate information is obtained as required for billing and reimbursement.
• Performs other duties/projects as assigned by management including customer service support: processing, resolving, and logging customer inquiries.

Required Skills

• Experience working front-end rejections
• Previous DME experience
• Medical billing experience
• Claims submission and resubmission experience
• Insurance verification experience
• HIPAA/PHI compliance knowledge

Benefits: The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, (paid time, paid sick and safe time, hours of paid vacation time, weeks of paid parental leave, paid holidays annually – These all are subject to applicable eligibility).

Reach Out to a Recruiter

• Recruiter
• Email
• Phone
• Siddhi Kadakia
• View email address on click.appcast.io