Medical Biller/Collector

Full Time
Miami, FL 33173
Posted
Job description

Entry Level - Medical Biller / Collector

  • Location: Miami, FL
  • Shifts: Monday-Friday 8 am-5 pm
  • Start Date: ASAP
  • Pay: $16-$18/hr DOE

We have an immediate opening for the following position: Entry Level - Medical Biller / Collector

As a Medical Biller/ Collector, this individual handles the collections of account balances related to insurance billing. The Medical Biller/ Collector is in charge of all duties related to insurance payment posting and collection.
Primary Duties and Responsibilities:

  • Perform verbal and written collection activity with insurance carriers for expediting claims reimbursement.
  • Compile necessary patient record information for effective appeals as required.
  • Submit appeals using department resources in a timely manner with appropriate documentation.
  • Perform consistent follow-up practices with insurance providers.
  • Apply discount, bad debt, and other AR adjustments on a timely basis per company policy.
  • Review of all assigned correspondence and timely responses to ensure proper claim reimbursement.
  • Review and entry of daily charges, modifiers and services.
  • Processing and posting of payments, research and follow-up on unresolved payment issues.
  • Communicate with offices through calls, e-mails and visits to review billing concerns.
  • Receive and initiate patient calls to resolve billing or payment concerns.
  • Research, review and communicate with insurance carriers regarding open accounts receivables.
  • Collect payments from patients and post payments to patient’s account.
  • Write and maintain all collection notes up-to-date.
  • Maintain great communications with all offices and assist front desk with any payment question that may arise.
  • Prepare deposits and refunds for MWC, PPI and DCW.
  • Assist Care Dx with secondaries and any other assistance that they may need regarding billing/collections.
  • Review all Care Credit payments and post to patients accounts.
  • Contact FFCC our collection agency with any patient concern, posting payment, taking patients out of collections and maintaining good communications with the agency.
  • Works closely with insurance billing, administrative and front desk staff with regard to verification of demographic and insurance information when needed.
  • Reviews and monitors all reimbursements due from all insurance companies, and determines appropriate collection methods and account follow-up according to the departmental guidelines.
  • Responsible for electronic EMR payment posting and batch posting.
  • Responsible for insurance payment reconciliation via lockbox, main-concentration account (EFT) and checks received in the mail.
  • Responsible for all billing adjustments and refunds.
  • Responsible for monthly reports related to account receivables and insurance denials.
  • Pursues insurance carriers by placing phone calls.
  • Works the report for the accounts receivable for the billing areas.
  • Reviews the Explanation of Benefits received from the insurance companies and taking appropriate action, including appealing all claims that are denied or underpaid, request for adjustments or refunds when applicable.
  • Advises the business operations manager of any trends related to insurance denials in order to identify problems with particular payors.
  • This individual responds to inquiries from students, parents and insurance carriers, over the telephone and in-person related to insurance billing.
  • Performs other duties as assigned.

Requirements:

  • Medical terminology, CPT and ICD-10 coding knowledge.
  • Knowledge of third party payor requirements. and reimbursement rules .
  • Proficient in Microsoft Excel and MS Word.
  • Detail-oriented and highly organized.
  • Excellent communication skills.
  • Bi-lingual with English and Spanish required.

Job Type: Full-time

Pay: Up to $18.00 per hour

Schedule:

  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Miami, FL 33173: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • ICD-10: 1 year (Required)
  • CPT coding: 1 year (Required)

Language:

  • Spanish and English (Required)

Work Location: One location

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