Medical Billing Specialist

Talentify; Panama City (FL); On-site; USD 42,000 - 70,000; Full time

Job summary

National HealthCare Corporation (NHC) is seeking an Insurance A/R Specialist for the FL Regional Office in Panama City, FL. You will work under the Billing Manager to ensure timely collection of homecare accounts receivable from Medicare, managed care, and commercial insurance.

Ideal candidates have 3+ years in third-party healthcare billing, strong communication and investigative skills, and a detail-oriented approach to resolving denials and patient balances.

Qualifications

• 3+ years of third-party healthcare billing experience, preferably in home health care.
• Knowledge of Medicare and third-party insurance guidelines.
• Strong communication, organizational, and attention to detail.
• Investigative mindset to resolve issues and denials.
• Excellent customer service and telephone etiquette.

Responsibilities

• Work outstanding Aged Accounts Reports.
• Maintain files on accounts requiring follow up until resolved.
• Review claims denials; submit corrected claims and/or follow up appeals.
• Assist patients in understanding balances after insurance processing.
• Be a resource for staff regarding insurance requirements.
• Communicate with homecare offices for claim and collection follow up.
• Other duties as assigned.

Skills

Healthcare billing experience

Medicare guidelines

Communication skills

Organizational skills

Problem solving / investigative

Customer service

Telephone etiquette

Self-motivation

Education

High school diploma

Business and computer courses desirable

Job description

Insurance A/R Specialist for our FL Regional Office in Panama City, FL
NHC HomeCare Florida Regional Office is looking for an Insurance A/R Specialist to join our team. This position works under the direction of the Billing Manager to assure the accurate and timely collection of Homecare accounts receivable from Medicare, managed care, and commercial insurance.

Qualifications:

• High school diploma. Additional business and computer courses desirable
• 3+ years of third-party healthcare billing experience, preferably in home health care, including multiple carrier experience with EOB's and claims denials
• Knowledge of Medicare and Third Party Insurance Guidelines
• Self-motivated. Able to work with little supervision
• Proficient in verbal and written communications, including active listening skills
• Strong organizational skills, work ethic, and high attention to detail
• Investigative personality-ability to efficiently determine the problem and get to the bottom of an issue
• Excellent customer service and telephone etiquette skills

Specific Responsibilities

• Work outstanding Aged Accounts Reports
• Maintain a file on accounts requiring follow up until accounts are satisfactorily resolved.
• Review claims denials and submit corrected claims and/or follow up appeals
• Assist patients in understanding their balances after insurance has processed
• Be a reliable resource for other staff regarding insurance and their requirements
• Communicate with homecare offices as needed for claim and collection follow up
• Other duties as assigned from time to time

National HealthCare Corporation is recognized nationwide as an innovator in the delivery of quality long-term care. Our goal is to provide a full range of extended care services, designed to maximize the well-being and independence of patients of all ages. We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.

The NHC environment is one of encouragement and challenge ... innovation and improvement ... teamwork and collaboration ... and honesty and integrity. All NHC employees are committed as partners, not only to the health of our patients, but to the well-being of the communities we serve.

EOE

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.