Medical Accounts Receivable & Billing

Statement of Purpose

This position is accountable for all steps in the billing process including processing medical, psych, and behavioral health claims information through data entry in the EMR, and researching and correcting data entry errors using eClinical

Works. This position uses knowledge of CPT and ICD-10 codes to accurately depict medical claim information. This position is in a primary care and behavioral health social service setting with specialized LGBTQ+ care and services.

Position starts in office with potential for a hybrid position.

• Review claims data to ensure that assigned codes meet required legal and insurance rules, and that required signatures and authorizations are in place prior to submission
• Submitting claims for services rendered to insurance companies/payers.
• Posting payments based on remittance advice, cash/credit/check payments as needed.
• Working directly with the insurance company, the patient, and clinic staff to get claims appropriately processed and paid timely.
• Working Billing Queues, including but not limited to AR follow-up, clearinghouse rejections, denials, insurance aging, pending with errors, and patient self-pay accounts.
• Reviewing and appealing denied and unpaid claims.
• Monitoring and updating patient AR balances.
• Tracking and updating the Aging Report and working patient accounts for accuracy.
• Answering questions patients or payers may have about billing.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when there is a lapse in payment.
• Must be able to commute to the administrative office in St. Petersburg, FL for training period.

• Minimum of 2 years of experience as a medical billing specialist in a primary care and behavioral health setting highly preferred.
• Experience working with multiple third‑party payers including Medicaid, Medicare, Managed Care, and HMO/PPOs.

• Strong knowledge of and ability to easily navigate Medicaid, Medicare, HMOs, and private payer systems.
• Knowledge of EMR systems, preferably with eClinical
  
  Works.
• Microsoft suite and data systems proficiency, including Electronic Medical Records.
• Ability to effectively communicate both written and verbally.
• Ability to effectively utilize problem‑solving and decision‑making techniques.
• Ability to make effective judgments and decisions based on objective criteria.
• Attentive to detail and strong organizational skills.
• Ability to tactfully interact with patients.
• High comfort working in a busy environment with changing priorities.

• Must possess and maintain a valid Florida driver’s license and proof of insurance.
• Must have a reliable and accessible vehicle.
• Must pass necessary fingerprinting, Level II background checks, and employment eligibility verification through the U.S. Department of Homeland Security’s E‑Verify system, (Use the "Apply for this Job" box below)..