A/R Billing Specialist Position Available In Sarasota, Florida

A/R Billing Specialist TOPS HR Solutions Sarasota, FL 34233 Here at TOPS HR Solutions, we are looking for an AR Billing Specialist for a local neurosurgery medical office. This is a temp-hire position, which is a great way to see if it is a good fit for you before you commit to a permanent position! Once you are permanent, they have great benefits including employer paid employee healthcare, dental, vision, matching retirement plan, as well as sick and paid time off!

Job Summary:

The Billing & Accounts Receivable Specialist is responsible for the charge entry, payment posting, and Accounts Receivable (“AR”) follow-up actions (including telephone calls to insurance companies) for all services rendered by clinicians. “Services” may include but are not limited to Evaluation & Management (“E&M”), Radiographic, and Surgical services. The Billing & AR Specialist will serve as the primary Aged Accounts Receivable collector while working collaboratively with the Director of Billing and Practice’s Clinicians to resolve unpaid and denied claims.

Experience:

It is preferred that the candidate have three years of accounts receivable experience preferably in a neurosurgery, orthopedic spine surgery, or some elective surgical practice setting.

Skills :

Requires an extensive working knowledge of accounts receivable functions including CPT and ICD-10 coding. Requires a good understanding of the current Medicare Compliance, OSHA, and HIPAA regulations.

Responsibilities:

Collects office visit E&M and hospital visit E&M billing information (patient information, date and site of service, CPT and ICD-10 codes) from Clinicians on a daily basis. Reach out to Clinicians anytime information is not provided weekly and/or ask for assistance with Clinician outreach. Verifies and enters all demographic and insurance information in patient registration of the Practice Management system at the time of charge entry to ensure accuracy, provide feedback to Front Office Supervisor and Director of Billing ensure timely reimbursement. Enters Professional billing charges with corresponding CPT and ICD-10 codes into the Practice Management system. Review the clinician’s CPT and ICD-10 coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement. Obtains and maintains required billing records, reports, and files for the charges the Employee submits, including hospital consultation / progress notes and operative reports. Submit primary and secondary insurance claims electronically each day and on

HCFA-1500

forms twice weekly to ensure timely reimbursement. File all charge, payment and adjustment batches in the appropriate format by batch date for quick reference. Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction. Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with Practice’s protocol. Patient calls regarding accounts receivable should be returned within two business days to ensure maximum patient satisfaction. Performs follow-up actions with insurance companies by telephone, fax, mail, and online to solicit payment for all outstanding surgery and hospital insurance claims at 30, 60, and 90 days from the date of claim submission in accordance with practice protocol. This may include drafting and/or assisting Clinicians with drafting appeal letters. Performs billing error resolution, such as correction of CPT codes, ICD-10 codes, modifiers, and units. Documents pertinent information relating to patient accounts and/or insurance company interactions within Practice Management system. Reviews and monitors patient accounts with outstanding charges within the Accounts Receivable system; determines and performs appropriate collection actions to resolve these patient accounts. Responds to patient, insurance, physician, and co-worker communications in a timely manner.

Job Types:

Full-time, Part-time, Temporary Pay:

$21.00 – $24.00 per hour Expected hours: 40 per week

Benefits:

401(k) matching Dental insurance Health insurance Paid sick time Paid time off Retirement plan Vision insurance

Schedule:

8 hour shift Monday to Friday No weekends Ability to

Commute:

Sarasota, FL 34233 (Required) Ability to

Relocate:

Sarasota, FL 34233: Relocate before starting work (Required)

Work Location:

In person