PFS Biller - Billing Department Lakeland Regional Health - 3.7 Lakeland, FL Job Details 11 hours ago Qualifications Medicare Managed care Workers' compensation insurance knowledge High school diploma or GED Medicaid health insurance Medicare regulations Liability insurance knowledge Centers for Medicare & Medicaid Services (CMS) billing regulations Medicaid regulations Medicaid Typing Productivity software Quality data entry Full Job Description Position Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only designated Level 1 Trauma Center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Work Hours per

Biweekly Pay Period:

80.00

Shift :

Monday - Friday 7:00 am to 3:30 pm

Location :

210 South Florida Avenue Lakeland, FL training for typically 30 days and then Remote Position Summary Responsible for accurate submission and billing of claims to payers. Actively participates in team development, achieving dashboards, and in accomplishing department daily/weekly goals and objectives. Responsible for adhering to all Federal regulations and maintaining current knowledge of all Billing guidelines. This position is a working member of a team with daily expectations to achieve operational targets with emphasis placed on HIPAA compliance and in accordance with departmental goals and SOP's.

Position Responsibilities Standard Work:

PFS Biller Work queues in Cerner Revenue Cycle and the Billing Scrubber Assign claim edits to appropriate department staff Ensure all data on claims are accurate and within billing guidelines Stay up to date with continuous education and communication on payer websites Work weekly reports assigned by

Supervisor Competencies & Skills Essential:

Four years general Patient Accounting experience including understanding of claims analysis. Understanding of Medicaid, Medicaid Manage Care, Medicare, Medicare Advantage plans, Commercial, Liability, and Workers' Compensation payers and their guidelines. Knowledge of healthcare rules and regulations. Working knowledge of Word, Excel or other Microsoft applications. Good analytical skills for problem solving, typing of 40 WPM and data entry. Demonstrates accuracy and thoroughness; Meets productivity standards; Completes work in timely manner. Consistently shows ability to recognize and deal with priorities. Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events. Demonstrates good judgment and reasoning when investigating and solving problems. Good critical thinking skills.

Qualifications & Experience Essential:

High School or Equivalent Nonessential:

Associate Degree Other information:

Experience Essential:

Two years general patient accounting experience. Experience working with and general understanding of Medicaid, Medicaid Manage Care, Medicare, Medicare Advantage plans, Commercial, Liability, and Workers' Compensation payors.

Experience Preferred:

Two years of medical billing experience