Billing Specialist Position Available In Bay, Florida

$0.00
Salary Not Available
Position range in Florida $18.32 – $23.18 Per hour Billing Specialist
(Confidential)

Occupation:

Billing and Posting Clerks

Location:

Panama City, FL – 32401
Positions available: 1
Job #: 12478385

Source:

Employ Florida

Posted:

3/28/2025

Updated:

3/28/2025

Expires:

5/27/2025

Web Site:

Employ Florida
Onsite /

Remote:

Work onsite all of the time

Job Type:

Regular, Full Time (30 Hours or More), Permanent Employment, Day Shift Job Requirements and Properties Help for Job Requirements and Properties. Opens a new window. Job Requirements and Properties Help for Job Requirements and Properties. Opens a new window.

HS 12 40

Job Description Help for Job Description. Opens a new window. Job Description Help for Job Description. Opens a new window.

Job Title:

Billing Specialist

Job Type:

 Full Time

Days/Hours:

 Monday-Friday, 8:00 AM – 5:00 PM

Pay:

(DOE)

Location:

 Panama City, FL

Required:

 High School Diploma or Equivalent. Minimum of 1 year experience in Medical Billing or a related Healthcare Finance Field. Medical Billing Knowledge.

Preferred:

Associate Degree in Health Information Management, Medical Billing and Coding or Related Field. Experience in Electronic Medical Records Systems and Billing Software.

Summary:

The Billing Specialist is responsible for processing and managing all aspects of patient billing, ensuring accurate and timely submission of claims to insurance companies and other payers. This position involves verifying patient information, reviewing coding, and ensuring compliance with billing regulations. The Billing Specialist will work closely with patients, insurance providers, and the internal healthcare team to resolve any billing issues, discrepancies, or denied claims, and will assist in the collection of outstanding payments. This role plays a key part in maintaining the financial health of the organization while ensuring a positive patient experience through clear communication and efficient billing practices.

Responsibilities:

Process Patient Billing:

Accurately prepare, review, and submit patient claims to insurance companies, government agencies, and other payers in a timely manner.

Verify Patient Information:

Confirm patient demographic and insurance details to ensure accurate billing and coding, addressing any discrepancies as needed.

Review and Code Medical Records:

Ensure that all procedures and diagnoses are correctly coded according to established coding guidelines (CPT, ICD-10, HCPCS) and regulatory requirements.

Handle Insurance Claims and Follow-ups:

Monitor the status of insurance claims, follow up on unpaid claims, and resolve any discrepancies or denials by communicating with insurance companies or patients.

Billing Discrepancy Resolution:

Investigate and resolve billing discrepancies or patient complaints, working collaboratively with healthcare providers, insurance companies, and patients.

Process Adjustments and Payments:

Record adjustments, payments, and credits accurately, ensuring that all payments are posted correctly to patient accounts.
Assist with

Insurance Appeals:

Prepare and submit appeals for denied or underpaid claims, following up as necessary to ensure a resolution.

Maintain Accurate Billing Records:

Keep thorough and accurate records of all billing activities, including claims, payments, adjustments, and communications with patients and insurance providers.

Provide Customer Service:

Address patient inquiries related to billing, explaining charges, insurance benefits, and payment options clearly and professionally.
Collaborate with

Healthcare Providers:

Work closely with physicians, clinical staff, and administrators to ensure that billing codes are accurate and compliant with regulations.
Stay Updated on

Billing Regulations:

Keep current with changes in billing codes, insurance requirements, and healthcare regulations to ensure continued compliance.
Assist with

Billing Reports:

Help prepare and review regular billing reports, highlighting outstanding claims and payments due.

Maintain Confidentiality:

Ensure all patient and billing information is kept confidential in compliance with HIPAA and other privacy regulations.

Required Skills/Abilities:

Medical Billing Knowledge:

Strong understanding of medical billing practices, including CPT, ICD-10, and HCPCS codes, as well as payer-specific billing requirements and reimbursement processes.
Attention to

Detail:

High level of accuracy in reviewing patient records, verifying information, and ensuring correct coding to minimize errors in billing and claims processing.

Analytical Skills:

Ability to analyze billing data, identify discrepancies, and resolve issues related to claims, payments, or insurance denials.

Problem-Solving:

Skilled in identifying and addressing billing issues, insurance rejections, and discrepancies with a proactive approach to finding solutions.

Communication Skills:

Excellent verbal and written communication abilities to interact professionally with patients, insurance companies, healthcare providers, and internal staff, and to explain billing details clearly.

Time Management:

Ability to prioritize tasks and manage time efficiently, handling multiple claims, follow-ups, and deadlines while maintaining accuracy.

Customer Service:

Strong interpersonal skills and the ability to maintain professionalism while assisting patients with billing questions or concerns, ensuring a positive experience.

Computer Proficiency:

Familiarity with Electronic Medical Records (EMR) systems, billing software, and Microsoft Office Suite (Excel, Word, Outlook), with the ability to navigate and enter data accurately.

Knowledge of Insurance and Payer Systems:

In-depth knowledge of various insurance policies, billing cycles, and payer guidelines to effectively manage claims and payments.

Regulatory Knowledge:

Understanding of healthcare regulations, such as HIPAA, and the ability to maintain confidentiality and comply with legal standards in all billing activities.

Adaptability:

Ability to adapt to changes in billing processes, insurance policies, and system updates while ensuring continued accuracy and efficiency.

Teamwork and Collaboration:

Ability to work collaboratively with colleagues, healthcare providers, and other departments to ensure efficient billing and resolution of issues.

Organization:

Strong organizational skills for tracking multiple claims, patient accounts, and billing deadlines, ensuring timely follow-up and resolution.

Education/Experience:

High school diploma or equivalent required; associate degree in Health Information Management, Medical Billing and Coding, or a related field preferred.
Certification in medical billing or coding (e.g., CBCS, CPC, or CCS) is highly preferred.
Minimum of 1-3 years of experience in medical billing or a related healthcare finance field, with a strong understanding of insurance claims and medical coding.
Experience with Electronic Medical Records (EMR) systems and billing software is preferred.
Familiarity with healthcare insurance policies, payer guidelines, and billing codes (CPT, ICD-10, HCPCS) required.
Previous experience in handling insurance claims, submitting appeals, and following up on unpaid claims is preferred.
Experience working with Medicare, Medicaid, and commercial insurance payers.

Physical Demands:

Sitting and Desk Work:

The position requires prolonged periods of sitting at a desk, working on a computer, and performing administrative tasks.

Lifting:

Occasional lifting of office supplies, files, or documents (typically 10-20 lbs), as well as handling materials for filing or organizing.

Standing and Walking:

The ability to stand and walk around the office for meetings, interacting with staff, clients, or visitors, and running errands within the office.

Repetitive Hand Motion:

Frequent typing, writing, and using office equipment (such as a phone or fax machine) may involve repetitive hand motions.

Visual Demands:

Extended periods of focusing on a computer screen or reading documents, requiring good vision or corrective lenses.

Communication:

Frequent talking and listening, both in person and over the phone, may be required to interact effectively with team members, clients, and visitors.
Attention to

Detail:

The role requires the ability to focus on tasks requiring accuracy, which may involve reviewing documents or data for extended periods.
PanCare of Florida is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law. We believe that diversity and inclusion are key to our success, and we welcome applications from individuals of all backgrounds and experiences. Help for Employer Information. Opens a new window.