Family Health Centers of Southwest Florida ยท 4 hours ago
Billing Specialist
Fort Myers, FL
Full-time
Onsite
Entry Level
2+ years expFamily Health Centers of Southwest Florida is seeking a Billing Specialist responsible for timely and accurate billing of provider services. The role involves submitting claims to various payers, ensuring clean claim submissions, and managing patient billing inquiries.
Health CareMedical
Responsibilities
Submits claims to payers based on review of medical records and in accordance with Medicare, Medicaid, and Commercial insurance guidelines as well as FHCSWF policies and procedures
Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission
Enters charges accurately and expeditiously to ensure proper records handling and fast payment
Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper
Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber
Initiates private pay collections after insurance cancellation, denial or other issue and answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc
Performs self-pay patient billing
Prepares and sends patient statements for charges not covered by insurance
Other duties as assigned
Qualification
Required
Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage
Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system
Understand and adhere to all HIPAA guidelines
MS Office Suite (Excel proficiency)
Alpha-Numeric data entry
High School or Equivalent
2 Years Medical Billing experience
Attention to detail with strong documentation, analytic and problem-solving skills
Ability to multi-task in a fast-paced environment
Strong interpersonal written & verbal communication skill
Preferred
Associates Degree
CMRS, CPB, or CPC credentials a plus
Company
Family Health Centers of Southwest Florida
Family Health Centers of Southwest Florida, Inc.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Daniel Griffith, CPA, CMPE
VP and Chief Financial Officer
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