Billing Specialist - Lutz

Reports To: Billing Manager and Practice Manager Job Description: Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Billing experience preferred. Role and Responsibilities Administrative Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff and insurance companies. Identifies and resolves patient billing questions and complaints. Prepares, reviews and sends patient statements. Evaluates patient’s financial status and establishes budget payment plans; follows and reports status of delinquent accounts. Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency. Research and appeal denied claims. Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. Works patient and insurance AR. Helps submit and maintain Provider insurance credentialing. Professional Demonstrates initiative and responsibility. Able to perform repetitive tasks without loss of focus. Adheres to ethical principles. Time Management. Prioritizes and can perform multiple tasks. Adapts to change. Attends all team meetings and mandatory in-service training/education. Basic computer skills. Communication Recognizes and respects cultural diversity. Adapts communication to individual’s ability to understand. Uses medical terminology appropriately. Treats all patients and co-workers with compassion, empathy, and mutual respect. Projects a professional manner and image. Consistent attendance and punctuality. Adherence to time clock procedures. Legal Maintains confidentiality and documents accurately. Uses appropriate guidelines for releasing patient information. Practices within the scope of education, training and personal capabilities. Conducts self in accordance with Suncoast’s employee manual. Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA. Core Competencies Organized. Punctual. Takes initiative, proactive. Team Player. Flexible. Calm under pressure. Problem solver, strategic thinking, creativity. Analytical skills. Clear and concise communication/Listening skills. Follow through on commitments. Openness to advice and constructive criticism. Strong work ethic. Physical Demands Prolonged sitting/walking. Repetitive motion of head, neck, hands, wrists and arms. Use of telephone, headset and office equipment such as computers, faxes, scanner copiers. Multitask position. Lifting up to 25lbs. Extensive reading and writing/typing. Qualifications and Education Requirements High school diploma, AA degree or higher. Accounts Receivable and Billing experience preferred. Billing and coding certification a plus, knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred. Pathology and Dermatology experience a plus. #J-18808-Ljbffr Suncoast Skin Solutions