Billing Coordinator - Peds Cardiology (Full Time, Days)

Nicklaus Children's Health System; Miami (FL); On-site; USD 42,000 - 65,000; Full time

Job summary

Nicklaus Children's Health System in Miami, FL is seeking a Billing/Collections specialist to manage the physicians' billing process daily in a fast-paced pediatric setting.

Responsibilities include screening inquiries, ensuring accurate charge posting, coordinating with the billing company, and staying current with payer requirements to maximize reimbursement.

Qualifications

• Previous medical billing experience required.
• Proficient in medical billing processes and CPT/ICD basics.
• Ability to maintain confidentiality and handle sensitive information.

Responsibilities

• Acts as liaison on billing matters and screens inquiries.
• Assists billing company to ensure correct charge posting and follow-up.
• Obtains payer authorization for procedures as needed.
• Responsible for daily physician billing to ensure timely/accurate posting.
• Gathers documents, matches demographics, and forwards to billing entity.
• Provides core admin support (faxing, filing, copying, ad hoc projects).
• Keeps up-to-date with insurance changes to maximize reimbursement.

Skills

Medical billing experience

English communication

Spanish helpful

Patient relations

Education

High school diploma or equivalent

Job description

Job Summary

Responsible for the physicians billing process on a daily basis.

Minimum Job Requirements

• Previous medical billing experience required.

Essential Duties and Responsibilities

• Acts as liaison on matters related to billing. Screens correspondence and calls for billing questions.
• Provides solutions to patients/patient families and frequently assists the billing company to ensure correct charge posting and correct collection follow-up.
• Obtains payer authorization to undertake interventional procedures, MRI, and ICD monitoring as needed.
• Responsible for the physicians’ billing process on a daily basis to ensure timely and accurate billing.
• Gathers billing document, follows up with Leader when no charges are received, and reviews billing document for CPT and ICD-9 codes.
• Matches billing with patient demographics, prints batches, totals each batch, makes copies, and sends to billing entity.
• Prepares quotes for the international department, which handles patients coming from abroad.
• Provides core administrative support such as faxing, filing, copying and performing ad hoc projects as needed. Continually offers assistance and keeps physicians informed.
• Remains current with changes to patient’s insurance cards, plans, and payer’s requirements to maximize/expedite reimbursement process.

Knowledge/Skills/Abilities

• High school education or equivalent preferred.
• Ability to communicate effectively in English both verbally and in writing.
• Ability to relate cooperatively and constructively with patients, families, peers, physicians, and other hospital staff.
• Basic knowledge of computers and ability to learn software application(s).
• Knowledge of Spanish helpful.
• Able to explain the complexities of billing of various insurance plans to patients and physicians.
• Able to maintain confidentiality of sensitive information.
• Able to set a professional tone in the office through a high standard of efficiency and customer focus.
• Able to set priorities and make adjustments when faced with unforeseen issues or crisis situations.

(EOE DFW)

6/9/16

Job

Billing/Collections

Department

NCPS-PEDIATRIC CARDIOLOGY-3100-467711

Job Status

Professional