Billing and A/R Specialist

Treasure Coast Community Health, Inc; Vero Beach (FL); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive wages

Education assistance

Paid time off

Dental

Life insurance

Short- and long-term disability

Holidays

Job summary

Treasure Coast Community Health, Inc. is seeking a Billing/AR Specialist to join our revenue team at the Administrative office in Vero Beach. You will prepare claims, post charges/payments, and assist with revenue-cycle projects while staying compliant with HIPAA guidelines.

Qualifications include familiarity with medical terminology, CPT, ICD-10 and CDT codes, plus strong computer and software skills. Bilingual English/Spanish preferred; experience with payer trends is a plus.

Qualifications

• One year certificate from college or technical school; or three to six months related experience and/or training.
• Bilingual English/Spanish candidates are strongly preferred.
• Two years prior medical billing experience preferred.
• Understanding of payer guidelines, HIPAA and PHI guidelines; familiarity with CPT/ICD-10/CPT/ CDT codes.
• Proficient with computers and medical billing software.

Responsibilities

• Prepare claims for submission to insurance companies according to payer guidelines; post charges and payments.
• Verify insurance coverage and manage collections on unpaid accounts with payment arrangements.
• Work with insurance companies, patients, and providers to resolve denials and ensure payment.
• Review and appeal denied or underpaid claims; respond to patient billing questions.
• Maintain knowledge of Medicaid/Medicare guidelines and medical terminology.

Skills

Computer proficiency

EMR/PM software

Process improvement

Organization

Collaboration

Attention to detail

Written and verbal communication

Learning agility

Medical billing experience

Education

Medical billing certificate / related training

Tools

EMR & Practice Management software

Job description

Treasure Coast Community Health (TCCH), a long-established and highly respected healthcare provider and Federally Qualified Health Center with locations throughout Indian River County, FL is seeking a Billing/AR Specialist to join our team.

TheBilling /AR Specialist is to be based at our Administrative office in Vero Beach. This person will work closely with our large in-house revenue team in identifying, resolving and sharing information regarding payer trends, guidelines and updates. Responsibilities will include, but will not be limited to, preparing claims, posting charges and payments, and assisting in projects relating to the medical revenue cycle. Qualifications include an understanding of payer, HIPAA and PHI guidelines, and familiarity with medical terminology and medical insurance, CPT, ICD-10 and CDT codes.

Essential Duties and Responsibilities Include:

• Preparing claims for submission to insurance companies according to the payer's guidelines, posting charges and payments to accounts and assisting in projects related to the medical revenue cycle.
• Good time management and have excellent computer and software skills, pay attention to detail and possess general math skills.
• Able to work closely with staff to identify, resolve, and share information regarding payer trends, guidelines and any new updates.
• It is also good to be able to multitask, prioritize, and solve any problems.
• Understand payer guidelines, HIPAA and PHI guidelines, and have excellent customer service skills.
• Should be familiar with medical terminology and medical insurance CPT, ICD-10 and CDT codes.

Additional Responsibilities may include:

• verifying patients' insurance coverage
• handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients if or when there is a lapse in payment
• working directly with the insurance company, the patient, and the healthcare provider, to get a claim processed and ultimately paid
• reviewing and appealing denied, underpaid and unpaid claims
• answering any questions patients may have about billing
• knowledge of insurance guidelines especially Medicaid and Medicare
• call insurance companies regarding any discrepancies in payments, if necessary
• submit secondary billing in a timely manner with appropriate supporting documentation
• review patient bills for accuracy and completeness and obtain any missing information
• manages the bill queue on a daily basis
• verifying pre-coded data to produce and submit claims to insurance companies
• handling collections on unpaid accounts
• assist Billing Supervisor or Billing Team Lead with other daily job functions as necessary

Qualifications:

• Proficient with computers, and preferably in Electronic Medical Records and Practice Management platforms
• Must be comfortable with process improvement and change
• Strong organization and process management skills
• Strong collaboration and interpersonal skills
• High attention to detail
• Excellent written and verbal communications kills
• Ability to learn new tasks and concepts
• Prefer two years prior medical billing experience
• CPC, CPC-A, CPB, CRC Coding Certification and/or Clinical Documentation Certification a plus

Education and/or Experience:

One year certificate from college or technical school; or three to six months related experience and/or training or equivalent combination of education and experience.

Bilingual English/Spanish candidates are strongly preferred.

Treasure Coast Community Health offers competitive wages, and an excellent benefit package including paid time off, paid holidays, education assistance, dental, and life insurance, company paid short- and long-term disability.

• paid time off
• paid holidays
• education assistance
• dental
• life insurance
• company paid short- and long-term disability

TCCH is an equal employment opportunity organization that complies with E-Verify and is a drug and smoke free workplace.