Medical Claims & Billing Specialist Southeast Neurology and Pain Management Tallahassee, FL Job Details Full-time 20 hours ago Benefits Health insurance Dental insurance Paid time off 401(k) matching Life insurance Qualifications Medicare Commercial insurance knowledge Word processing Spreadsheets Filing Overseeing health insurance pre-authorization Workers' compensation insurance knowledge Medical coding experience in outpatient clinics Medicaid health insurance Bachelor's degree Attention to detail Medical explanation of benefits reviews Medical claims submission Medicaid Productivity software Full Job Description Southeast Neurology and Pain Management is seeking a Medical Billing & Coding Specialist to join our growing team. Our company has locations in Tallahassee, FL, Panama City, FL and Thomasville, GA. Our billing team is located in our Thomasville location and processes claims for all 3 locations. This position will be responsible for timely and accurate claims processing for neurology and pain management clinical visits, and procedures to include preparing and submitting claims, resolving denials, and assisting patients with billing inquiries. Our ideal candidate will be highly organized, able to thrive in a fast-paced environment and have exceptional attention to detail. Being able to manage multiple priorities and meet deadlines as well as having a "can-do" attitude are critically important. This full-time position offers a highly desirable 4-day work week with a schedule of 7am-5pm Monday-Thursday with Fridays off! Additionally, a competitive salary, generous benefits package and room for upward career growth make this an excellent opportunity for the right candidate! This position has the potential to become a work-from-home position once fully trained.

Job Duties:

Audits and ensure claim information is complete and accurate. claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management. Ensures accurate and timely billing of

HCFA 1500

claims. Ensures that files are documented with appropriate information (i.e., date stamped, logged, signed, etc.). Creates logs for providers of pending medical encounters and or encounters with errors. Work directly with other billing staff and management to meet end of month closing deadlines. Able to work with clearinghouse rejections, print, and mail secondaries. Address inquiries from insurance companies, patients, and providers. Understands

CPT, ICD10, HCPCS

coding and modifiers. Knowledge of third-party payers, HMOs, PPOs, Medicare, Medicaid, Worker's Compensation, etc. Knowledge of ERAs, EOBs Knowledge of payer specific/LCD guidelines Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification Must be proficient with spreadsheets and word processing applications.

Qualifications/Requirements:

Minimum of 3 years' experience with medical billing or revenue cycle in a medical setting Experience with Medicare, Medicaid, Commercial insurance plans, Workers' comp, and Personal Injury cases. Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials. Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required. Excellent computer skills and familiarity with Microsoft Office Comfortable working in a growing, dynamic organization and able to navigate change. Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment. Bachelor's degree preferred. Experience using eClinicalWorks preferred. Experience with Pain Management preferred.

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Paid time off

Work Location:

In person