Employment

Qualifications

• Preferred 4 years’ experience in a medical office reimbursement department
• Experience with EMR Management software
• Strong background in Accounts Receivable
• Strong communication skills as you will be speaking with physician’s, patients, insurance representatives, and/or medical billing staff on a weekly basis
• Must maintain HIPAA standards
• Ability to work in a fast-paced environment while remaining calm and professional
• Strong customer service orientation
• Excellent organizational skills and must be detailed oriented
• Strong computer and typing skills
• Outstanding listening skills
• Positive, friendly, approachable disposition
• Ability to work with multiple priorities

Company Description

A well established Medical Billing & Coding company is seeking an experienced Medical Billing Specialist to join their billing team.

Additional Information

MAJOR DUTIES/RESPONSIBLITIES:

• Post all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer outstanding balance to secondary insurance or patient responsibility per EOB protocol
• Close payment batches daily, reconciling individual carrier payments and EOB statements
• Initiate processes to follow up on rejected claims as evidenced by EOBs, per EOB protocol
• Transmit all appropriate electronic and paper claims, correct any errors on claims and re-transmit; file secondary claims as necessary.
• Discuss outstanding payment amounts with patients regarding balance owed by the insurance company and the patient
• Post all payments, by line-item, received for physician’s professional services into EMR software system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability.  All payment batches must be balanced in both their dollar value of payments and adjustments prior to posting.
• Review the physician’s coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
• Provide customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts in accordance with practice protocol.  Patient calls regarding accounts receivable should be returned within 1 business days to ensure maximum patient satisfaction.
• Verify all demographic and insurance information in patient registration of the EMR software system at the time of charge entry to ensure accuracy, provide feedback to clients and supervisor to ensure timely reimbursement.
• Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians, managers and subordinates.
• Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
• Submit primary and secondary insurance claims electronically each day and on HCFA to ensure timely reimbursement.
• Process refunds to insurance companies and patients in accordance with client protocol.
• Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
• Proficiency with all facets of the EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry.
• Provide cross coverage for Account Managers in their absence as required to ensure efficient and professional practice operation.
• Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
• Maintain an organized, efficient and professional work environment.
• Adhere to all practice policies related to HIPAA and Medicare Compliance

PHYSICAL REQUIREMENTS

• Continuous sitting throughout the work shift
• Frequent bends, kneels and crouches
• Must be able to read small print
• Stooping and bending to files, supplies, mobility to complete tasks
• Repetitive movements of hands, fingers and arms for typing and/or writing during work shift
• Frequently lifts, carries or otherwise moves and positions objects weighing 10-20lbs
• Continuous use of the telephone to verbally speak to insurance companies and/or assigned by senior management
• Ability to reach with hands and arms
• Must be able to handle stress
• Will view computer screens for long periods of time.

Compensation:

• Pay from $14-$17/hr
• Excellent work / life balance
• PTO available
• Paid Federal Holidays off
• Medical, Dental, Vision, Life insurance policies available
• 401k available

Qualifications

• Preferred 2 years’ experience in an office environment
• Experienced and comfortable with making calls and taking calls supporting client initiatives.
• Preferred 2-4 years of college.
• Strong verbal and written communication skills as this role is supporting our marketing initiatives.
• Must have comfort working with on-line software and be quick to learn new tools.
• Ability to work in a fast-paced environment while remaining calm and professional
• Must be able to multi-task and balance numerous priorities
• Strong customer service orientation
• Excellent organizational skills and must be detailed oriented
• Proficiency in Microsoft Office specifically Excel, Outlook and Word
• Strong computer and typing skills
• Positive, friendly, approachable disposition
• Must have the ability to work independently with effective time management skills

Company Description

A well-established growing Training Company based in Downtown Orlando and is currently looking for a full-time Customer Service Representative to be on both phone calls, live chats, and ZOOM conferences.

Additional Information

POSITION DESCRIPTION (ESSENTIAL FUNCTIONS)

• Writing blogs and email newsletters
• Supporting customers via phone, email, and live chat
• Creating content for social media Manage our customer database (CRM)
• Quality assurance & deadline tracking Analytics and reporting
• Contributes to team effort by accomplishing related results as needed.
• Review records for completeness, accuracy, and compliance with regulations
• Other tasks as deemed necessary

PHYSICAL REQUIREMENTS

• MUST be able to verbally speak without accommodations – face to face, through landline, through PC phone and/or other means required to perform job duties.
• MUST be able to view computer screens for the duration of your work shift.
• Continuous sitting throughout the work shift – we offer stand / sit desks in our office
• Repetitive movements of hands, fingers and arms for typing and/or writing during work shift
• Must be able to work standard office equipment: computers, fax machines, copiers, printers, telephones, etc.
• Frequent bends, kneels and crouches
• Must be able to read small print
• Stooping and bending to files, supplies, mobility to complete tasks
• Frequently lifts, carries or otherwise move and position objects weighing 10-20lbs
• Ability to reach with hands and arms
• Must be able to handle stress
• Work requires hand dexterity for office machine operation

PERFORMANCE MANDATES

• Client communication returned within 24 hours
• Internal organizational communication returned within 2 hours
• Attendance and participation in area, client and organizational meetings
• Timely completion of all required and staff development elective education courses
• The constant ability to remain professional and respectful in all internal and external communication
• Other position related duties as identified by leadership