Medical Billing

Job Description

Medical Billing

Pay rate : $15.00 per hour

Location : Orlando, FL

Job Type : Direct Hire

Position Summary :

Responsible for reviewing accounts with outstanding balances and determining correct action to be taken to ensure maximum reimbursement. Take corrective action on accounts with outstanding balances in a timely manner to obtain reimbursement. Responsible for processing all correspondence relating to the financial status of an account and patient insurance updates. The Insurance Specialist is engaged in the tracking of claims through the billing process, to identify problem areas, and to determine a course of action to resolve aging claims. Follows all policies and procedures as outlined by the company and / or governmental regulations and according to HIPAA regulations.

Responsibilities :

• Answer Phones and route as needed
• Responsible for working correspondence on a daily basis - to accurately update accounts with the provided information.
• Responsible for identifying trends which impact revenue and determine best course of action to resolve outstanding accounts.
• Interact with third parties representative and utilize online sites to review status and update accounts as needed to expedite the claims process.
• Reviews outstanding insurance claims and contacts carrier for resolution prior to patient billing Work with team member issues in a professional manner.
• Contacts patients for updated insurance information when necessary
• Updates and rebills as appropriate.
• Reviews all rejected claims and appeals when appropriate.
• Takes direction from onsite Manager
• Notifies manager of problems affecting reimbursement
• Maintains confidentiality of all patient and financial information
• Performs other duties as assigned
• Research to resolve any issues on claims that can be updated to bill
• Review and evaluate account billing history and determine action(s) needed to resolve billing issues.
• Correcting inaccurate insurance information presented by insurance companies
• Follow-up on all accounts every 30 days where action was taken to insure payment is received
• Document in the comments section of every account when any action is taken, indicating the action and next step to resolution.
• Display a positive attitude as well as professional, polite, considerate and courteous conduct and treatment of others in the course of duties.

Skills / Qualifications :