Job Details
SNI Companies is currently hiring for Medical Collectors in St Petersburg, Florida:
Medical Collector
The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide.
Primary Responsibilities:
- Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account / claim adjudication
- Responsible for correcting, completing, and processing claims for all payer codes
- Analyze and interpret that claims are accurately sent to insurance companies
- Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports
- Able to identify an appeals worthy claim and or ability to process appeals online or via paper submission; Assist with billing audit related information
- Attend provider meetings/ workshops when needed
- Communicate with billing and credentialing coordinator to identify and resolve audit review issues
- Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.
- Communicate daily with internal and external customers via phone calls and written communications
- Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor
- Research, record findings, and communicates effectively with Manager to achieve optimum performance
- Pursue and participate in education to remain current with changes in the Healthcare industry
- Maintain patient confidence and protects medical office operations by keeping patient information confidential
- Contribute to team effort by accomplishing related results as needed
- Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives
- Demonstrate respect fellow employees to insure a professional, responsible and courteous environment
- Perform other duties as assigned to support National Billings Mission, Vision, and Values.
Requirements:
- Minimum of one year of related experience in clinical ,medical, or medical services environment
- Previous experience in a medical office setting and/or experience with an Electronic Medical Record a plus
- Customer service driven
- Understanding of medical terminology and insurance laws/guidelines
- Excellent organization and time management skills along with excellent oral and written communication skills
- Strong team player
- Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
- Strong written and verbal communication skills; strong analytical, organizational and time management skills required. Ideal candidate will have billing software experience or used similar billing systems.
SNI Companies is currently hiring for Medical Collectors in St Petersburg, Florida:
Medical Collector
The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide.
Primary Responsibilities:
- Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account / claim adjudication
- Responsible for correcting, completing, and processing claims for all payer codes
- Analyze and interpret that claims are accurately sent to insurance companies
- Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports
- Able to identify an appeals worthy claim and or ability to process appeals online or via paper submission; Assist with billing audit related information
- Attend provider meetings/ workshops when needed
- Communicate with billing and credentialing coordinator to identify and resolve audit review issues
- Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.
- Communicate daily with internal and external customers via phone calls and written communications
- Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor
- Research, record findings, and communicates effectively with Manager to achieve optimum performance
- Pursue and participate in education to remain current with changes in the Healthcare industry
- Maintain patient confidence and protects medical office operations by keeping patient information confidential
- Contribute to team effort by accomplishing related results as needed
- Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives
- Demonstrate respect fellow employees to insure a professional, responsible and courteous environment
- Perform other duties as assigned to support National Billings Mission, Vision, and Values.
Requirements:
- Minimum of one year of related experience in clinical ,medical, or medical services environment
- Previous experience in a medical office setting and/or experience with an Electronic Medical Record a plus
- Customer service driven
- Understanding of medical terminology and insurance laws/guidelines
- Excellent organization and time management skills along with excellent oral and written communication skills
- Strong team player
- Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
- Strong written and verbal communication skills; strong analytical, organizational and time management skills required. Ideal candidate will have billing software experience or used similar billing systems.