17 days old

Insurance Billing Specialist

The Cardiac and Vascular Institute
Gainesville, FL 32605

The Cardiac and Vascular Institute (TCAVI) provides cardiovascular healthcare services to the patients of North Central Florida with respect, compassion and professionalism.  We achieve our mission through the talents and extraordinary dedication our employees bring to their jobs each and every day.  Come join the TCAVI team!  We are seeking an INSURANCE BILLING SPECIALIST in the BUSINESS OFFICE department of our cardiology practice.  This position is located in Gainesville zip code 32605.


 




ESSENTIAL FUNCTIONS:




  1. This position will focus on Medicare and Medicare Replacement plan claims. 



  2. Researches all information needed to insure complete billing process including obtaining medical records and required data from physicians.



  3. Reviews coding information about procedures and diagnosis on charge.



  4. Assists in the processing of insurance claims including Medicare, Medicaid, Commercial and other third party payers.



  5. Prepares and submits clean claims to various insurance companies either electronically or by paper.



  6. Answers questions from patients, clerical staff and insurance companies to insure correct medical billing protocols have been performed.



  7. Identifies and resolves patient billing issues.



  8. Handles written correspondence and performs provider appeal issues with third party payers to insure maximum reimbursement has been received for the practice.



  9. Responsible for handling A/R based on insurance carriers assigned and ensures A/R is paid and processed correctly in a timely manner.



  10. Assists with error resolution and provides feedback for enhancement purposes.



  11. Processes payments from insurance companies and prepares a daily deposit.



  12. Performs various A/R actions including handling telephone issues from patients and insurance companies, correcting and resubmitting claims to third party payers.



  13. Assists with the balancing and preparations of the practices daily close.



  14. Maintains required medical billing records, reports and files.



  15. Participates in educational activities and attends departmental meetings.



  16. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.




 


EDUCATION:  High School Diploma or GED.


 


EXPERIENCE:  Minimum of two years medical billing experience in a health care organization.  Intergy or ECW experience desirable.  Cardiology experience desirable. 


 


KNOWLEDGE:


1. Knowledge of medical billing/collection practice


2. Knowledge of computer programs.


3. Knowledge of business office procedures.


4. Knowledge of basic medical coding and third-party operating procedures and practices.


 


ENVIRONMENTAL/WORKING CONDITIONS:  Work is performed in an office environment.  Job involves frequent contact with staff, patients, and insurance companies.  Work is stressful at times and contact may involve dealing with angry or upset people.


 


PHYSICAL/MENTAL DEMANDS:  Requires sitting and standing associated within a normal office environment.  Manual dexterity needed for using a calculator and computer keyboard

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Posted: 2020-02-06 Expires: 2020-03-07

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Insurance Billing Specialist

The Cardiac and Vascular Institute
Gainesville, FL 32605

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