Billing Specialist - Lutz

Reports To:

Billing Manager and Practice Manager

Job Description:

Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Billing experience preferred.

Administrative

• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing questions and complaints.
• Prepares, reviews and sends patient statements.
• Evaluates patient’s financial status and establishes budget payment plans; follows and reports status of delinquent accounts.
• Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.
• Research and appeal denied claims.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Works patient and insurance AR.
• Helps submit and maintain Provider insurance credentialing.

Professional

• Demonstrates initiative and responsibility.
• Able to perform repetitive tasks without loss of focus.
• Adheres to ethical principles.
• Time Management.
• Prioritizes and can perform multiple tasks.
• Adapts to change.
• Attends all team meetings and mandatory in-service training/education.
• Basic computer skills.

Communication

• Recognizes and respects cultural diversity.
• Adapts communication to individual’s ability to understand.
• Uses medical terminology appropriately.
• Treats all patients and co-workers with compassion, empathy, and mutual respect.
• Projects a professional manner and image.
• Consistent attendance and punctuality.
• Adherence to time clock procedures.

Legal

• Maintains confidentiality and documents accurately.
• Uses appropriate guidelines for releasing patient information.
• Practices within the scope of education, training and personal capabilities.
• Conducts self in accordance with Suncoast’s employee manual.
• Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA.

Core Competencies

• Organized.
• Punctual.
• Takes initiative, proactive.
• Team Player.
• Flexible.
• Calm under pressure.
• Problem solver, strategic thinking, creativity.
• Analytical skills.
• Clear and concise communication/Listening skills.
• Follow through on commitments.
• Openness to advice and constructive criticism.
• Strong work ethic.

Physical Demands

• Prolonged sitting/walking.
• Repetitive motion of head, neck, hands, wrists and arms.
• Use of telephone, headset and office equipment such as computers, faxes, scanner copiers.
• Multitask position.
• Lifting up to 25lbs.
• Extensive reading and writing/typing.

High school diploma, AA degree or higher. Accounts Receivable and Billing experience preferred. Billing and coding certification a plus, knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred. Pathology and Dermatology experience a plus.