Medical Billing Specialist

Description

Medical Billing Position located 100% onsite in Orlando, FL.

 No remote, hybrid, or part-time candidates will be considered.

Work Hours: Monday–Friday, 8am-4:30pm EST

Responsibilities:

• This position is responsible for, but not limited to, the following: . Assures that all phases of processing client information are in compliance with HIPAA,
• PHI regulatory and related policies and practices;
• Reports any Compliance issues to the Director of Operations.
• Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility.
• Responsible to follow-up as necessary to facilitate the collection of co-pays.
• When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account.
• Manages the entry of client information into computer system in a timely manner and contact of referral source, customer and/or client to obtain missing information needed to set up client for service.
• Ensures that the data is accurate and complete.
• Confirms all sales orders in the system and ensures that all required information
• (e.g. proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment.
• Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete.
• Responsible for the timely submission of claims (electronic and paper as needed) to payers; Corrects and resubmits front-end and back-end rejected claims.
• Ensures that all cash is posted to the correct account in a timely manner.
• Responsible for the timely follow-up and collection of payments due to the organization. This is accomplished by generating invoices and/or following up with clients and/or payers.
• Uses available resources to maintain current regulatory guidelines and reimbursement information to insure that the company is obtaining all appropriate information as required for billing and reimbursement.
• Performs other duties/projects as assigned by management including customer service support: processing, resolving and logging customer inquiries.