Medical Biller , Hobe Sound, FL

(Only QUALIFIED Healthcare Professionals accepted) Hospital/Clinic
- Financial
- Medical Biller $20|HR, Hobe Sound, FL

Location:

Hobe Sound, FL Job description Multi-specialty Ambulatory Surgery Center with an immediate opening for an experienced ASC medical biller|accounts payable clerk. You must have at least 2 years of ASC Medical billing and accounts payable (AP). Some coding experience (you will not code, but it is good to know) and Quick Books knowledge are necessary. The potential candidate must be detail-oriented and know how to prioritize.

This is a fast-paced environment for a dynamic individual. Must have strong knowledge of workers' compensation, commercial insurance, Medicare|Medicaid, as well as HMO and PPOs. It is an incredible opportunity to work for a long-standing, established, family-owned company with actual values in the importance of producing quality services to the community. We value our employees for their dedication, loyalty, and quality of work.

• Minimum 2-4 years of ambulatory surgery or hospital billing experience required (ASC experience is a plus).
• Strong medical terminology.
• Knowledge of insurance contracts and claims processing
• Understands and abide by billing guidelines and compliance
• Knowledge of insurance contracts and claims processing.
• In-network and OON payor knowledge - all payors (WC, UHC, BCBS, Aetna, Cigna, Medicare, etc.)
• Knowledge of Quick Books
• Experience with keying in vendor invoices (Accounts Payable)
• Data entry skill sets detail-oriented
• Knowledge of SIS

• Charge Entry
• Track coding completion and implant invoices for billing
• Responsible for keying codes and charges from the Coding company
• Verifies the accuracy of the patient's insurance company name and address. Sends original claims and supporting documentation to insurance companies (electronically and manually).
• Identifying trends in billing and coding
• Works with electronic billing vendor to resolve e-billing issues, denied claims, etc.
• Generates and processes all insurance claims.
• Research required information and maintain pending follow-up on a daily|weekly basis.
• Communicates daily information needed for billing.
• Prints appropriate billing forms and forwards them to the insurance carrier.
• Update patient and insurance information when necessary
• Reconciling charges with cases.
• Submits claim to patients' secondary insurance (including primary carriers EOB) after receiving correct payment from the primary carrier.
• Makes any necessary changes to rejected claims and resubmits, ensuring that claims have been forwarded to the appropriate payer

• Ensures all supporting documentations are attached
• Enters vendor invoices into Quick Books following policies and procedures
• Review vendor's statements and follow up on outstanding invoices
• Scan and upload documents to the server
• Organize invoices in a retrievable manner
• Assist with entering patient refunds into Quick Books
• Assist management with finalizing weekly AP payment distributions

Salary: TBD based on experience and credentials.

Job Type: Full-time.

Pay:
From $20.00 per hour.

Expected hours:
No more than 40 per week.

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance