Medical Biller/Collector

Job Description

Medical Billing/AR Specialist Opportunity in Longwood, FL

SMS National is poised for significant growth in the coming years and we want you to be part of that growth. We are looking for that special person to be a Medical Billing/AR Specialist to assist with insurance claims processing. We operate in a fast-paced and ever-changing environment that requires fast thinking, outstanding organizational skills, and exceptional verbal communication skills. Supervisory experience is a required.

JOB SUMMARY: Responsible for collecting payments for physician and diagnostic surgical procedures within insurance company time limits to ensure effective cash receipts and profitability. Researches and takes actions necessary to resolve all claims and assists in improving collections procedures.

RESPONSIBILITIES:

• Follow-up open/pending insurance claims
• Prepare and submit insurance claim appeal letters
• Contact patients regarding monies owed
• Phone contact with insurance companies
• Assist in claims charge entry and posting of payments
• Maintain confidentiality and adhere to HIPAA and other regulations

SKILLS, KNOWLEDGE, AND ABILITIES:

• Knowledge of medical terminology
• Goal oriented
• Knowledge of CPT, ICD 10, and procedural modifiers
• Knowledge of CPT 10 codes, HCFA 1500 and UB04 Forms
• EHR software, Microsoft Word, Excel, and Outlook
• Follow-up experience with insurance companies and patients for complete claims processing and maximum payment
• Familiarity with commercial insurances, Medicare, PPO, HMO, Workers Compensation, No-Fault carriers and their guidelines.
• Work effectively in a team environment
• Strong ability to identify, analyze and solve problems
• Self-motivated and approach tasks with a positive, proactive demeanor
• Organized and detail-oriented
• Effective communication ( verbal and written )

DESIRED EDUCATION AND EXPERIENCE:

• 2 or more years of experience in medical billing and collections with a billing company or healthcare facility in insurance claims and patient-A/R follow-up
• Skilled in medical billing database and EHR systems
• High school diploma (college degree a plus)

Salary is based on the amount of medical billing experience.

PLEASE INCLUDE RESUME (APPLICANTS WITHOUT DETAILED RESUME WILL NOT BE CONSIDERED)

Job Type: Full-time

Required education:

• High school or equivalent

Required experience:

• Medical Billing: 3 years

Job Type: Full-time

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person