Outpatient Billing Specialist Job Tallahassee Florida USA,Healthcare

Location: Tallahassee

Job Location:

Tallahassee, FL 32308
• Position Type:
Full Time
• Salary Range: $15.00
• Job Category:
Other

Apalachee Center, Inc. is best known for helping individuals and families of North Florida succeed in recovering from emotional, psychiatric, and substance abuse crises. Apalachee Center, Inc. provides comprehensive behavioral health services across 8 counties:
Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, and Wakulla.

Apalachee Center, Inc. offers competitive benefits for our full‑time positions, including health, dental, vision, basic life insurance, long‑term disability, paid time off, and more.

Overview

Billing and collection of behavioral health outpatient services via a complex, service‑specific accounting/insurance system.

ESSENTIAL/CORE JOB-SPECIFIC DUTIES AND RESPONSIBILITIES

Coordinate and communicate with various outpatient staff regarding patient information, including diagnostic coding, policy‑holder information, and patient benefits.

Complete all pre‑billing processes and edits for assigned payer sources.

Process outpatient billings to assigned payer sources.

Process explanation of benefits (EOBs) from assigned payer sources, including posting of payments, rebilling co‑pays and/or deductibles, and adjusting receivables accordingly.

Process denials by coordinating with the Utilization Review department when necessary, communicating with insurers, providing additional documentation, submitting corrected billings, or taking any other required step based on the denial code.

Review aged receivables reports for assigned payer sources on a monthly basis for outstanding balances, and perform necessary follow‑up.

Review accounts receivable greater than ninety days with DP/Billings Supervisor.

Qualifications

High school diploma or its equivalent.
Two years of medical clerical/insurance experience.
Excellent telephone/customer relations skills and experience with a 10‑key calculator.