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Billing Specialist
Job Description
In this role you will support the billing department and all office staff by providing assistance in all areas of billing and collections. In addition, this role requires communication with patients, insurance providers and clinical staff regarding the handling of all aspects of each claim.
Supervisory Duties:
Training and oversight performance of Medical Office Biller(s) within the organization.
Has regular meetings with all staff in the billing department regarding best billing and collections practices
Monitors overall workload in the department, and distributes work accordingly
Assists with recruitment, discipline and termination of any billing department staff members
Ensures coverage is provided during sick or vacation periods
Reimbursement and Billing Operations Management:
Maintains knowledge and handles all of the details of all positions within the billing department- including, claim processing, payment posting, insurance claim follow-up, patient collections, complex insurance/ patient cases, L5999 and L7499 coding compliance.
Provides opinion and introduces best practices within the billing department when dealing with EFT, EDI and Electronic claims into the systems.
Meets with Director of Operations monthly or as needed to discuss difficult claims, analyze accounts, AR Reports, and collections statistics by payer.
Performs monthly billing audits to ensure timely and accurate processing of payment posting, and collections activity within the company.
Works with Payment poster and account manager to ensure a timely end of month close- goal is 2-3 days.
Assists with appeals and takes on High Level appeals personally
Assists patients with setting up any necessary payment plans regarding their balances
Reviews monthly billing statements for accuracy
Assists in determining if accounts need adjusting
Assists in Refunding both patient and insurance carriers
Maintains OPIE Fee schedules each year- ensuring accuracy and full details of the fee schedules
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Job Requirements
Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
Maintains detailed knowledge of practice management and other computer software as it relates to job functions
Performs any additional duties as requested by the Director of Operations
When necessary, provide front office coverage at all local sites
Participates and gives input at Administrator Meetings regarding the Billing
Meet Your Recruiter
Melissa Matos
Hello – I am Melissa Matos and I love what I do – recruiting in the Healthcare space and putting people to work! I was born in Puerto Rico and raised in New York, then I moved to sunny South Florida 20+ years ago where I’ve been with Lloyd since 2002. I work closely with clients and candidates to understand the talent and career needs of both groups. My bilingual fluency is an asset to positions where a second language is critical to the regional culture and busines demands. Healthcare is one of the fastest growing industries in the U.S.; my searches and placement successes are nationwide. I head up an outstanding group of recruiters focused on the healthcare community. We know we have made an impact on our client’s workforces and are proud of the contributions our healthcare talent has made, particularly during the pandemic. We look forward to a world of wellness! #LIVINGLLOYD
Song I can listen to over & over: Anything by Marc Anthony (Salsa music!)
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