Billing Review Specialist

Lincare; Largo (FL); On-site; USD 35,000 - 45,000; Full time

Job summary

A healthcare provider in Florida is seeking an entry-level billing review specialist. This role involves ensuring timely and accurate completion of billing reviews and maintaining patient records in compliance with HIPAA regulations. Responsibilities include communicating with payors and patients to resolve billing issues. Ideal candidates should have good communication skills and a willingness to learn about insurance policies. Full-time employment is offered.

Qualifications

• Entry-level position requiring good communication skills.
• Ability to understand insurance policies and billing procedures.
• Must maintain HIPAA compliance in records management.

Responsibilities

• Ensure timely completion of reviews and billing projects.
• Communicate with payors and patients regarding billing issues.
• Maintain accurate patient records and documentation.

Job description

Job Functions

This employee ensures that all assigned reviews and company projects are completed timely and accurately according to the scope of work. They will report any issues and/or concerns timely to the Supervisor of the Centralized Billing Review team and/or Manager of the Centralized Billing Review team.

• Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts
• Understands payor requirements according to their policies
• Ensures completion of all forms and collects complete billing information
• Pursues, maintains, and communicates medical coverage/guideline changes/updates
• Verifies insurance benefits and eligibility for patients
• Communicates with patients to resolve billing issues and ensures timely payment
• Maintains accurate and up-to-date patient records in compliance with HIPAA regulations
• Works assigned reports accurately and timely
• Helps facilitate interoffice communication on payor updates and trends
• Completes any adjustments/transfers of AR as required
• Documents all activity in customer's computer account or applicable applications
• Answers billing review specialist questions accordingly
• Reports issues and/or concerns in a timely manner
• Available to assist other billing review specialists on the team with questions or needs
• Acts as liaison between staff and management

Seniority Level

Entry level

Employment type

Full-time

Job function

Accounting/Auditing and Finance

Industries

Hospitals and Health Care