Medical Billing Specialist

Location: Tampa, Florida

Description: We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team. The Medical Billing Specialist will be responsible for handling the billing and coding of medical services provided by our healthcare professionals, ensuring accurate and timely submission of claims, and managing accounts receivable. This role is crucial in maintaining the financial health of our practice.


Our Culture: Inspire hope. Build your legacy. Build a rewarding career with Florida Digestive Health Specialists (FDHS), Florida's largest physician-owned gastroenterology practice. Since 2011, we've been dedicated to delivering exceptional digestive healthcare through compassionate patient care, clinical excellence, and advanced research. With more than 30 locations statewide and many physicians recognized as Castle Connolly Top Doctors , you'll join a collaborative team known for excellence, where your contributions are valued, your professional growth is supported, and your work makes a meaningful impact. Come grow with us and help shape the future of digestive healthcare.

As we continue to grow, we are seeking a Medical Billing Specialist to join our team and support our mission.

Essential Duties:

• Accurately code medical procedures, diagnoses, and services using ICD-10 and CPT codes specific to gastroenterology.
• Responsible for procedure billing as well as billing in office testing.
• Responsible for procedure and imaging prior authorizations using online portals and/or calls to insurance.
• Responsible for any incoming billing calls.
• Ensure that all Coder Review requests are reviewed and completed with accuracy and according to departmental time frames.
• Assist with chart audit functions as directed by Central Billing Office (CBO) management.
• Perform accurate reconciliation of charges submitted to the CBO to ensure that all charges are received and coded within the department standard time frame.
• Prepare daily physician charges and submit them electronically.
• Accurately code and prepare charge entries daily.
• Review denied claims, fix, resubmit, and initiate appeals when necessary.
• Provide telephone support and processing to patients related to billing matters.
• Responsible for maintaining the highest level of billing standards following federal, state, and payer-specific regulations.
• Other duties as assigned.
  1. Please note that the duties and responsibilities outlined in this job description are not exhaustive and may be subject to change at any time to meet the evolving needs of the company. In addition to the responsibilities listed above, employees may be required to perform additional tasks or duties as assigned by management.

Qualifications:

• A minimum of a High School diploma, GED, Certificate of Completion or equivalent achievement
• Minimum of 2 years of experience in a Medical Biller/Coder role in multispecialty physician setting; preferably gastroenterology
• CPC (Certified Professional Coder), or CCA (Certified Coding Associate), or CCS-P (Certified Coding Specialist Physician)
• Strong computer skills, including intermediate knowledge and ability to work with Microsoft Excel
• Exceptional communication skills - both written and verbal
• Ability to read, understand, and use CPT and ICD-10 codes and adhere to Medicare guidelines and compliance
• Knowledge of appropriate payer billing requirements (especially Medicare Part B) to ensure timely payment of claims
• Superior organizational skill, attention to detail, ability to work without micro-management
• Working knowledge of basic coding, CPT, ICD-10, and Modifier application
• Experience in using electronic health record software, eligibility, and electronic billing. eCW experience preferred.

Benefits:

• Competitive salary commensurate with experience.
• Comprehensive benefits package including health insurance, retirement plan, paid time off and paid holidays.
• Professional development opportunities
• Positive and collaborative work environment

Physical Demands

The employee is frequently required to walk; sit; use hands for fine manipulation, handle or feel and reach with hands and arms using a keyboard and video display terminal. The employee is occasionally required to stand and stoop, kneel, crouch or crawl and climb stairs. The employee should be able to lift and move up to 25 lbs. The work environment is typically quiet to moderate with standard office noise levels. While performing the duties of this job, the employee may occasionally be exposed to sounds such as ringing phones, office equipment, and conversations among colleagues.

EEO Statement:

It is the policy of Florida Digestive Health Specialists to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

When you join FDHS, you become part of a premier team striving to deliver unparalleled, personalized care while treating patients like family. And at FDHS, our patients are at the heart of everything we do. Join our team at FDHS and make a difference in the lives of our patients and employees alike!