Insurance Specialist - Accounts Receivable

June 22

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Florida Medical Clinic

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Family Practice • Psychiatry • Gastroenterology • Cardiology • Allergy/Immunology

1001 - 5000

Description

• Responsible for accounts receivable through claim follow up, cash collection, and denial management for services rendered • Requires knowledge of Federal, State, and payor regulations/guidelines, reimbursement methodologies; communication with third party payors

Requirements

• Graduate of Health Insurance Specialist Certificate preferred OR High School Diploma • Minimum two years medical/professional billing, insurance follow-up, and denials management experience – appeals • Expert working knowledge of EOB’s, copay/co-insurance/deductibles, denial codes/reasons, insurance allowables, adjustments, and an understanding of payor reimbursement methodologies and guidelines • Expert knowledge of HCFA 1500 and/or UB04 claim forms • Strong knowledge of major payor billing policies, including: Medicare, Medicaid, Aetna, BCBS, Cigna, Humana, Untied Healthcare, Workers’ Comp and MVA • Expert knowledge of CPT/HCPCS and ICD-10 codes • Knowledge of charge posting and EDI functions preferred • Ability to navigate payer websites/portals and other various sites to conduct research • Accounting Principles, Basic Office Skills required; advanced office skills are preferred • Strong communication skills (oral and written); must be able to collaborate effectively and work in a team environment • Ability to work at a fast pace - meet productivity quotas while maintaining a high level of quality in work performed • Detail oriented with excellent organization skills • Ability to multitask and effectively manage numerous competing priorities • Excellent phone skills

Benefits

• Competitive salaries • Retirement plans • Excellent training programs and opportunities for growth • Medical Benefits including: • Employer Contributions to HSA high deductible plan • Discounts at our medical facilities • Cigna Open Access OAPIN & OAP plans • Incentive based Wellness Programs • Company sponsored Life Insurance with buy-up provisions • Dental, Vision, Long and Short Term Disability, Accident & Illness policy options • Paid Time Off and Holidays • Generous 401K plan with annual 3% Employer contribution after one year of employment • Values and appreciates its employees • Reputation for superior health care and quality service