Four to six years of experience in medical collections is required.
Ability to coordinate and prioritize activities related to insurance billing.
Ability to maintain confidentiality of medical information.
Ability to read and understand explanations of benefits for all insurance plans.
Ability to type 45 words per minute and use a 10-key calculator.
Excellent grammar and communication skills.
Ability to work independently and maintain complete and organized routine office matters.
Ability to comply with HIPAA, information security standards, and state and federal billing and collections regulations.
Responsibilities
Process billing claims through billing software or paper claims as needed.
Follow up on edits and denials to ensure claims are coded and billed accurately for reimbursement.
Prepare, submit, and manage medical claims using billing software such as TruBridge, including electronic, paper, and secondary claims.
Verify insurance coverage and eligibility.
Ensure accurate coding based on patient diagnoses and treatments.
Maintain complete and accurate patient account information.
Monitor claim status and investigate denied or rejected claims.
Appeal denied or rejected claims and resolve discrepancies.
Process refunds and pursue collections on delinquent accounts.
Communicate regularly with patients, providers, and insurance payers.
Desired Qualifications
Knowledge of medical terminology is preferred.
Description
Description
Lake Butler Hospital is a critical access hospital in North Florida providing 24-hour emergency services, inpatient hospitalization, swing bed program, rehabilitation services, outpatient laboratory, and outpatient radiology (X-ray, ultrasound, and CT Scan) services to Union County and the surrounding counties. We are devoted to providing all members of our community with premier-quality health care in a compassionate and inviting environment.
We are seeking a knowledgeable Billing Specialist to join our team!
For full-time employees, we offer medical benefits, paid time off, 401k after one year of service, discounts at Willow Cafe and more!
Job Summary:
Process all billing claims via billing software or paper claims as needed. Follows up on all edits, denials to ensure all claims are coded and billed accurately in order for facility to receive reimbursement.
Duties and Responsibilities:
This position is responsible for preparing, submitting, and managing medical claims using billing software such as TruBridge, including electronic, paper, and secondary claims. The role involves verifying insurance coverage and eligibility, ensuring accurate coding based on patient diagnoses and treatments, and maintaining complete and accurate patient account information. The employee will monitor claim status, investigate and appeal denied or rejected claims, resolve discrepancies, process refunds, and pursue collections on delinquent accounts to ensure timely reimbursement. Regular communication with patients, providers, and insurance payers is required, along with maintaining strict compliance with HIPAA, information security standards, and all state and federal billing and collections regulations.
Requirements
Education: Requires high school diploma or equivalent.
Experience: 4-6 years experience in medical collections required.
Skills: Ability to coordinate and prioritize activities as related to insurance billing. Accurate, mature, flexible person who is meticulous to detail. Displays responsibility to confidentiality of medical information. Pleasant attitude in dealing with other departments as well as the public. Genuine concern for completeness and organization of routine office matters. Able to read and understand the explanation of benefits for all insurances.
Knowledge: Ability to type 45 WPM, use a 10-key calculator, knowledge of medical terminology preferred.
Abilities: Excellent grammar and communication skills. Self-starter.
OSHA Categories: Category III - Normal routine involves no exposure to blood, body fluid or tissue, and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid
Physical Requirements
Sedentary Work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)
Stoop, kneel, crouch, or crawl (Position self (to), Move)
Walk (Move, Traverse)
Stand or Sit (Stationary Position)
Pushing or Pulling
Repetitive Motion
Reaching
Taste/Smell (Detect, Distinguish, Determine)
Exposure to Fumes
Exposure to Dust
Noise
All Lake Butler Hospital employees are designated “Disaster Service Workers” through state and federal laws. As Disaster Service Workers, all Lake Butler Hospital employees are expected to remain at work, or to report for work as soon as practicable following a significant emergency or disaster.