Medical Billing Lead in Melbourne, Florida at Florida Eye Associates Inc
Job Function: Accounting/Finance
Florida Eye Associates Inc
Melbourne, Florida, 32901, United States
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Job Description
Description:
- Lead a team of billing specialists and provide leadership and support as needed
- Medical and ASC Facility billing
- Request authorizations from insurance companies, primary providers and verify benefits
- Manage unallocated funds
- Manage transactions for multiple entities
- Manage collection balances and insurance aging
- Ensuring accurate claims information, including patient data, diagnoses and procedure codes
- Submitting claims on time to primary, secondary and tertiary payers
- Following up on denied or unpaid claims, including appeals and resubmissions
- Generating patient statements and invoices, including prior payments and the remaining balance
- Posting patient and insurance payments to correct line items when received
- Working knowledge of CPT, ICD 10, HCFA 1500, UB04 claim forms, HIPPA billing and insurance regulations, insurance benefits and appeal processes
- Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of Florida and Federal payer regulations.
- Understanding of privacy laws such as the Health Insurance Portability and Accountability Act (HIPAA) and how to protect patient data
- Reconciling payment reports and calculating copays and deductibles
- Excellent computing skills, including an understanding of electronic health records (EHR) and claims software – EMA software a plus
- Review payer contracts
- Monthly Close
- Minimum of 2 years experience in billing
- Caring, patient and friendly attitude
- Strong leadership and management skills
- Well-organized with excellent attention to detail
- Familiarity with billing software and systems
- Strong communication and interpersonal skills
- Excellent follow-up skills
- Ability to work under pressure
- Knowledge of regulatory requirements related to billing and collections
- Team player with positive attitude
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Job Location
Melbourne, Florida, 32901, United States
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