Day One:

Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100%

Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule:

Full time

Shift:

Day (United States of America)

Address:

301 MEMORIAL

MEDICAL PKWY

City:

DAYTONA BEACH

State:

Florida Postal Code:

32117

Job Description:

Processes accurate billing procedures for all payors electronically, meeting time and daily deadlines efficiently. Other duties as assigned. Analyzes daily correspondence (denials, underpayments) to appropriately resolve issues and responds to written correspondence from payers and patients. Assists Customer Service with patient concerns/questions to ensure prompt and accurate resolution. Processes and records agency audit notifications and responds within designated timeframes to ensure compliance with government and contractual requirements. Works all assigned insurance payers to ensure proper reimbursement on patient accounts, processes appeals, requests refunds, and handles rejections of insurance claims. Communicates effectively and professionally with key management staff and supporting department partners to ensure key metrics are addressed timely. Maintains communication between external or contracted agencies, business vendors, and partners, ensuring compliance with contractual terms and performance protocols. Ensures expeditious and accurate insurance reimbursement for all Government and Managed Care payors. Updates a high volume of daily claims appropriately in the appropriate system. Determines, initiates, and follows through on the status of claims in appropriate system, such as placing on hold, deleting, or assigning account errors to responsible departments. Documents billing, follow-up, and collections steps taken, as well as the results and next steps needed to resolve assigned payments. Monitors and audits the status of errors assigned to other areas or teams for all payors daily, ensuring timely follow-up and expeditious billing.

Knowledge, Skills, and Abilities:

Computer/data entry skills required. Proficiency in performance of basic math functions. Communicates professionally and effectively, both verbally and in writing. Exposure and understanding of CPT codes required.

Education:

High School Grad or Equiv [Required]

Work Experience:

1+ college can be substituted for experience. [Required] 1+ experience in healthcare claims processing or collections. [Preferred] 1+ experience in healthcare, finance, accounting, banking, insurance, or related fields. [Required]

Physical Requirements:

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$16.63 - $26.60 Background Screening Requirement (Florida Law) Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law. Applicants may review general information about Florida's background screening requirements at the

Florida Care Provider Background Screening Clearinghouse :

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