Ancillary Billing Specialist Position Available In Duval, Florida
Tallo's Job Summary: The Ancillary Billing Specialist at Borland Groover in Jacksonville, FL, ensures accurate claims processing, timely payments, and account reconciliation to maintain financial stability. Responsibilities include medical coding, claims processing, follow-up, payment posting, appeals, customer service, compliance, and account reconciliations. Qualifications include attention to detail, communication skills, and knowledge of insurance policies and regulations. Previous experience preferred but not required.
Job Description
Ancillary Billing Specialist 3.8 3.8 out of 5 stars 4887 Belfort Road, Jacksonville, FL 32256 COMPANY
DESCRIPTION
Borland Groover is one of Florida’s leading gastroenterology providers. Founded in 1947, our mission is to provide exceptional care and improve the lives of our patients. We value ourselves on delivering quality care (quality), doing the right thing (accountability), caring for our patients (compassion), and taking care of our employees (collaboration). If you love the vision of Borland Groover, and find your values aligning with ours, apply to join our team!
POSITION SUMMARY
The Ancillary Billing Specialist is responsible for ensuring the timely and accurate processing of claims, following up on outstanding insurance payments, and reconciling accounts to maintain financial stability for the organization. They must stay updated on industry changes and maximize revenue while maintaining compliance with regulations and providing excellent customer service.
ESSENTIAL JOB FUNCTIONS
Recording and paying invoices on a daily basis or as needed Recording all deposits from insurance companies and patients Monitoring bank accounts for all entities associated with Borland-Groover Notifying the proper people of bank account balances and/or discrepancies Provide petty cash for all satellite offices, including obtaining receipts as well as ordering cash from the bank Reporting and graphing data for the Director of Finance Additional duties as assigned by the Director of Finance and any others
KEY RESPONSIBILITIES MEDICAL CODING
Review anesthesia note Assign accurate anesthesia CPT and ICD-10 codes Ensure that coding is compliant with current coding guidelines and regulations Stay up-to-date with changes in coding guidelines and updates to anesthesia coding
CLAIMS PROCESSING
Prepare and submit medical insurance claims to various insurance companies electronically or by paper. Verify patient insurance coverage and eligibility before submitting claims. Ensure claims are submitted with accurate patient and medical information, including procedure and diagnosis codes and modifiers.
FOLLOW-UP AND COLLECTIONS
Monitor the status of submitted claims and track outstanding payments. Contact insurance companies to follow up on unpaid or denied claims. Resolve claim discrepancies, rejections, and denials by providing necessary documentation or information.
PAYMENT POSTING
Apply insurance payments to the corresponding patient accounts and reconcile any discrepancies.
APPEAL AND DENIALS
Prepare and submit appeals for denied claims, providing additional documentation as needed. Work with insurance companies to resolve claim disputes and discrepancies.
ACCOUNT RECONCILIATIONS
Reconcile accounts regularly to ensure accuracy and identify and discrepancies or trends.
CUSTOMER SERVICE
Assist insurance company representatives with inquiries and issues related to billing and claims. Provide excellent customer service by addressing concerns and resolving problems promptly.
COMPLIANCE AND REGULATIONS
Stay updated on healthcare industry regulations, coding changes, and insurance policies. Ensure compliance with federal and state billing regulations, including HIPPA. Must participate in the Compliance Program Initiatives and follow the Code of Conduct.
QUALIFICATIONS
Ability to work independently and as part of a team. Ability to multitask. Excellent communication and interpersonal skills. Attention to detail and strong analytical abilities. Understanding of insurance policies, billing procedures, and medical terminology. Knowledge of relevant regulations and compliance standards.
EDUCATION AND EXPERIENCE
High school diploma required. Previous experience in medical billing, medical coding, insurance claims processing, or insurance collections is preferred by not required.
PHYSICAL REQUIREMENTS
Ability to stand, walk, and sit for an extended period. Ability to communicate in English. Ability to see within normal parameters. Ability to hear within normal range. Ability to use hand, arms, and legs within specifications of the job. Must be able to lift 15 pounds.
