Medical A/R Specialist

Medical A/R Specialist Florida Heart Associates Fort Myers, FL Job Details Full-time 20 hours ago Benefits Paid holidays Disability insurance Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Qualifications Computer operation Medicare Computer literacy Health insurance policy knowledge High school diploma or

GED ICD-9 ICD-10

Medicare regulations Centers for Medicare and Medicaid Services (CMS) Medical billing CPT coding Centers for Medicare & Medicaid Services (CMS) billing regulations Computer skills Medicaid regulations Medicaid Medical terminology Full Job Description Florida Heart Associates is seeking a full-time Medical Billing Accounts Receivable Specialist to join our team. The ideal candidate will have at least two years of experience with medical insurance benefits with a working knowledge of insurance companies process and nuances in regard to claim adjudication. The Medical Billing Accounts Receivable Specialist will review aged accounts for anomaly; work with insurance company reps and co-workers to resolve open accounts and ensure a positive cash flow; prepare appeals and respond to patient inquiries. The position will also initiate patient contact to collect insurance information via letters, and telephone. Located in the attractive Southwest Florida Gulf Coast area, Florida Heart Associates operates a modern medical center dedicated to meeting the cardiac needs of Southwest Florida. We perform diagnostic cardiac testing, in addition to peripheral vascular procedures. We also support an in-house cardiac PET imaging system, stress testing, ECHO, and management of arrhythmia equipment.

Florida Heart Associates offers:

Health, dental, vision plan insurance options Company paid life insurance and LTD Accident Insurance Aflac choices (short-term disability, cancer, hospitalization, and accident plans) Identity Theft Insurance 401(k) with company match Generous Paid Time Off 7 paid holidays Employee Assistance Program (EAP) Perks and discounts - theme park tickets, travel, & more

EDUCATION

High school diploma or equivalent.

EXPERIENCE

2 years of experience with medical insurance benefits

DUTIES INCLUDE BUT NOT LIMITED TO

Review EOB's for denials/rejections/anomalies in payment within 48 hours of receipt Review medical insurance claims for resolution and payment Research, compile and respond to documentation requests from insurance carriers in a timely basis finding resolution to open account balances Systematically work accounts receivable to improve and reduce A/R days Perform various collection actions including contacting insurance companies and/or patient by phone, correcting and resubmitting claims Reviewing claims rejections/denial submit appeals for unpaid claims Prepare appeals when appropriate and file to insurance timely Work with insurance company reps to get claims resolved Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations Assist with posting insurance payments and patient payments Review rejected claims report and make appropriate corrections to claims Transmit electronic claims daily Review and maintain transmission reports Compile billing statistics daily, weekly and monthly. Mail paper claims same day as printed Download and Import electronic remittances Prepare and submit weekly patient statements Perform other duties as assigned by supervising manager

PERFORMANCE REQUIREMENTS

Ability to interpret rules and regulations set by Medicare, Medicaid and Commercial payers Familiarity with insurance companies processes and nuances in regard to claim adjudication Knowledge of insurance billing and reimbursement, working knowledge of medical terminology and CPT codes, ICD-9/ICD-10 Previous denials management experience preferred In-depth understanding of explanation of benefits (EOBs) Working knowledge of computerized medical management systems and/or web based programs Strong interpersonal and communication skills including verbal and written communication Extremely organized and detail oriented with the ability to work on multiple competing priorities Ability to work within a team setting and independently Excellent communication skills with internal and external customers Computer literate Knowledge of business office procedures Florida Heart Associates is an Equal Opportunity Employer and is proud to be a drug and tobacco free organization. All potential hires will be required to take and clear a pre-employment drug screen upon job offer.

Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance

Experience:

Medical billing: 2 years (Required) Ability to

Relocate:

Fort Myers, FL 33907: Relocate before starting work (Required)

Work Location:

In person