Medical Claims Denial Specialist

Founded in 1993, Intercoastal Medical Group is a professional association of more than 100 highly credentialed physicians encompassing many medical specialties. Intercoastal is committed to providing the highest quality care possible by offering superior healthcare to adults no matter their medical need. At our 10 convenient locations in Sarasota and Bradenton, Florida, our patients benefit from a seamless and efficient transfer of expertise and information, creating a unique continuum of care. Intercoastal Medical Group offers advanced digital imaging like MRI, ultrasound, mammography, and more. We also have our own state-of-the-art surgical center for outpatient procedures. For additional information about Intercoastal, visit www.intercoastalmedical.com Intercoastal is a drug free workplace and EEO compliant. Salary will commensurate with medical billing experience including coding certification. The Claims Denial Specialist is responsible for accurately processing insurance explanation of benefits (EOB's), investigating denials, communicating with the insurance companies, office sites, and customer service department regarding claims, re-bill claims and works aging and ERA reports in a timely manner.

Location:

943 S Beneva Road in Sarasota, FL 34232

Hours:

Monday-Friday, 8am-5pm

ESSENTIAL DUTIES

Investigate claims denials; refund request and/or other billing issues Re-bills/reprocesses claims correctly Research coding issues using appropriate resources (Supercoder, NCCI, CPT, payer websites, etc.) Quarterly review assigned payer insurance updates Utilization of the practice management system and electronic medical record (includes but not limited patient notes, claim data, tasks) Communicate with Coordinators regarding billing errors or denials Read and/or acknowledge email correspondence daily Acknowledge or work tasks daily

EDUCATION

High School Diploma or Equivalent Completion of a Medical Coding and Billing Program (preferred)

CERTIFICATION/LICENSURE REQUIREMENTS

Medical Coding Certification optional (CPC-A or CPC)

SKILLS AND ABILITIES

Basic knowledge and understanding of patient confidentiality Knowledge of medical terminology Strong computer skills Knowledge of billing terminology (ICD and CPT codes) Ability to type using appropriate grammar and spelling Excellent phone etiquette and verbal communication Ability to work independently on assigned tasks as well as take direction from coordinator/manager Strong organizational and time management skills Monday-Friday, 8am to 5pm