Medical Billing Specialist

Job Description

Job Description

Job Description

Required Education : High School Graduate or Equivalent

Preferred Education : CPC or CCS, certified coder either through AAPC or an equivalent organization

Experience : 1 years’ experience in the medical coding field. Must have good knowledge of medical terminology, anatomy, diagnosis and procedure codes.

• Must be well versed in CPT and ICD-10 coding. Orthopaedic and Spine specific billing and coding background preferred.
• Knowledge of insurance contracts, CMS and managed care guidelines, medical terminology and medical compliance.
• Must have in-depth knowledge of the appeals process and ability to successfully appeal unjust denials
• Send claims (paper and electronic)
• Follow up on submitted claims and outstanding A / R
• Keeping accounts current, posting payments for all claims
• Monitors uncharged encounters in EMR system and sends notices to Physician offices on missing charges.
• Apply analytical and critical thinking to determine any areas which fall below reimbursement expectations and provide timely recommendations— to resolve those matters.
• Comfortable with all aspects of EHR / EMR systems. Experience in credentialing, CAQH, and PQRS requirements
• Must be proficient in MS Word, Excel, and Power Point
• Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific, State or Federal billing guidelines.
• Preferred Experience : ASC Credentialing and Contracting

Job Type : Full-time

Company Description

The Comprehensive Spine Center at Spine Institute of Central Florida provides a full scope of Spinal services. We specialize in the entire spectrum of non-surgical and surgical care of the spine. For your convenience, all services are available under one roof; including very effective and highly sophisticated spinal evaluation and treatment programs, diagnostic imaging, interventional pain management, spine specialized rehabilitation and therapy programs specially designed for specific spinal conditions and injuries to ensure maximal results.

Company Description

The Comprehensive Spine Center at Spine Institute of Central Florida provides a full scope of Spinal services. We specialize in the entire spectrum of non-surgical and surgical care of the spine. For your convenience, all services are available under one roof; including very effective and highly sophisticated spinal evaluation and treatment programs, diagnostic imaging, interventional pain management, spine specialized rehabilitation and therapy programs specially designed for specific spinal conditions and injuries to ensure maximal results.