Medical Billing / Coding Specialist

Job Description

Job Description

Medical Billing / Coding Specialist

Gastro Florida is the largest gastroenterology group in Tampa Bay with over 65 providers and over 25 locations in Pinellas, Hillsborough, Pasco, and Polk counties. Gastro Florida offers G.I. screening & treatment, colon cancer prevention, non-surgical cancer intervention, IBD infusions & therapy, nutrition & weight loss services, monitoring between visits, pharmacy & pathology services, and the latest therapies, including clinical research, to provide an integrated patient experience . Our mission is to provide general and advanced / interventional gastroenterology services in an Affable, Affordable & Accessible manner for Accurate Answers .

We are seeking a competent, conscientious, service-oriented individual with strong character while working as a Patient Insurance Collector in our Central Business Office (CBO). This individual will work collections of insurance claims (work A / R report, insurance follow up, denials, appeals, researching unpaid balances). He / She will work under the direction of our Billing Manager.

Role :

• Code, prepare and submit clean claims to insurance companies via electronic and paper submissions
• Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner -Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
• Identify payor issues and trends and resolve recoup issues
• Update demographic information in the patient account record and identify actions taken on the account
• Provide thorough, efficient, and accurate account updates / notes in computer system for each communication made -Identify problem accounts and escalate as appropriate -Work with patients and guarantors to secure payment on outstanding account balances
• Researching and obtaining necessary information provider / office -Sort and file correspondence -Verify patient eligibility with insurance carriers
• Properly calculates and collects out of pocket expenses for patients
• Obtain and maintain CPC or CGIC or similar coding certifications

Other Duties as Assigned (~10%)