Billing Specialist jobs in Clearwater, FL

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Billing specialist
  • Pinnacle Home Care
  • Oldsmar, FL FULL_TIME
  • Billing Specialist - Home Care - Remote

    Job Category : Operations Requisition Number : BILLI004279 Showing 1 location Job Details

    Description

    Short Description :

    Responsible for obtaining, managing accurate, timely completion of all billing, collections, accounts receivable functions of the organization.

    ESSENTIAL JOB FUNCTIONS / RESPONSIBILITIES

    • Request authorization for services within 24 hours of receiving request.
    • Follow up on pending authorizations.
    • Calculate expected reimbursement percentages based on contracted rates and properly notate accounts.
    • Reconciles and collects on assigned accounts.
    • Meet productivity goals as assigned by the Billing / Reimbursement Manager.
    • Utilize appropriate systems to actively contact Payers / Patients for account transactions.
    • Ensures that all reconciled items and past due balances are resolved to completion through contact and follow-up with Payers / Patients.
    • Communicates professionally with inter-company departments on resolution of potential disputed items.
    • Responds to all inquiries with a resolution to concerns and or discrepancies.
    • Assists in the training of all new A / R personnel when needed.
    • Complies with HIPAA regulations on all accounts
    • Follows Pinnacle Home Cares Attendance Policy.
    • The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.

    The incumbents may be requested to perform job related tasks other than those stated in this description.

    SKILLS REQUIRED

    • Thorough understanding of episodic billing methodologies including PPS and PDGM.
    • Analyzing and reconciling complex issues and problems timely.
    • Constructively working when faced with high workloads and deadlines.
    • Following directions and respectfully request clarification when needed.
    • Identifying needs and opportunities and present them to the supervisor with recommended solutions.
    • Working independently with minimal supervision.
    • Preparing and analyzing appropriate reports and other business correspondence.
    • Maintaining a positive outlook at all times.
    • Communicating in a clear, precise, and hospitable manner
    • Fostering two - way communication
    • Addressing customer concerns in a courteous and timely manner.
    • Strong organizational and time management skills.
    • Use of relevant computer systems.

    Must be Proficient in the below Skills :

    • Thorough understanding of PPS and PDGM billing and collections Methodologies
    • Performs all collection activities for Medicare and Non-Medicare Home Health episodical accounts, leading to the timely reimbursement of receivables using available resources including internal / external tools , payer portals / websites, and telephone.
    • Identifies and initiates appropriate action to resolve denied / rejected invoices in accordance to CMS / Payer guidelines.
    • Reviews EOB / Remits / analyzes and clears payment variances for all PDGM and PPS AR.
    • Submits adjusted and / or corrected bills, identifies possible refunds in accordance with payer guidelines and operating procedures.
    • Participates in payer webinars to stay up to date with payers changes / updates.

    Qualifications

    Skills

    Behaviors

    Motivations

    Education

    Experience

    Licenses & Certifications

    Last updated : 2024-03-07

  • 19 Days Ago

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Billing Specialist
  • Women's Care
  • Trinity, FL FULL_TIME
  • The Billing Specialist provides patient account and billing support following established standards and practices. Verifies patient benefits via phone and internet and contacts patient if necessary to...
  • Just Posted

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Billing Specialist
  • Covius
  • Palm Harbor, FL FULL_TIME
  • It's fun to work in a company where people truly BELIEVE in what they're doing!We're committed to bringing passion and customer focus to the business.The Billing Specialist is responsible for accurate...
  • 3 Days Ago

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Billing Specialist
  • LE50 Covius Services, LLC
  • Palm Harbor, FL FULL_TIME
  • It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. The Billing Specialist is responsible for accura...
  • 4 Days Ago

M
Medical billing coding
  • My Medical Billing Career
  • Odessa, FL FULL_TIME
  • Interested in a career in the Medical Billing & Coding field? My Medical Career can help! START TRAINING FOR YOUR NEW MEDICAL CAREER TODAY! Graduate employment services may be available once training ...
  • 1 Month Ago

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Medical billing coding
  • My Medical Billing Career
  • Oldsmar, FL FULL_TIME
  • Interested in a career in the Medical Billing & Coding field? My Medical Career can help! This posting is for Career Training Services, provided by our network of schools located across the United Sta...
  • 1 Month Ago

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0 Billing Specialist jobs found in Clearwater, FL area

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Billing Specialists (Office Based)
  • Directions for Living
  • Clearwater, FL
  • Job Description Job Description Pay Rate: $18.26/ hour ($38,000 annually) Includes benefits, including 100% employer pai...
  • 3/29/2024 12:00:00 AM

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Accounting Clerk
  • IRISS Inc.
  • Bradenton, FL
  • Job Description Job Description Company Overview: IRISS Inc., a global leader in Safety & Reliability for critical asset...
  • 3/29/2024 12:00:00 AM

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Billing Specialist
  • Infinity Talent Solutions LLC
  • Tampa, FL
  • Tampa office national AV rated law firm is seeking a Client Relations Assistant for its downtown Office. This individual...
  • 3/28/2024 12:00:00 AM

S
Tax Manager
  • Saltmarsh, Cleaveland & Gund
  • Tampa, FL
  • Saltmarsh is currently seeking an experienced Tax Manager that sees themselves as a leader who wants to join a firm that...
  • 3/28/2024 12:00:00 AM

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Accounting Clerk
  • Capleo Global
  • Clearwater, FL
  • Job Title: Accounting Clerk Location: CLEARWATER Florida 33764 Shift: 08:00am - 04:30pm Mon-Friday Job Description: Inpu...
  • 3/28/2024 12:00:00 AM

M
Clinical Research Billing Specialist
  • Moffitt Cancer Center
  • Tampa, FL
  • At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insigh...
  • 3/27/2024 12:00:00 AM

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Tax Manager Public Accounting
  • Rosen, Weissman, Gerardo & Coberly CPAs LLC
  • Tampa, FL
  • Job Description Job Description Rosen, Weissman, Gerardo & Coberly CPAs LLC is a fast-growing CPA firm that is expanding...
  • 3/27/2024 12:00:00 AM

Z
Accounting Clerk
  • ZK Technology LLC
  • Tampa, FL
  • Job Description Job Description ZKTeco is seeking a versatile and self-motivated individual to join our team as an Accou...
  • 3/25/2024 12:00:00 AM

Clearwater is a city located in Pinellas County, Florida, United States, northwest of Tampa and St. Petersburg. To the west of Clearwater lies the Gulf of Mexico and to the southeast lies Tampa Bay. As of the 2010 census, the city had a population of 107,685. Clearwater is the county seat of Pinellas County and is the smallest of the three principal cities in the Tampa-St. Petersburg-Clearwater metropolitan area, most commonly referred to as the Tampa Bay Area. Cleveland Street is one of the city's historic avenues, and the city includes Spectrum Field and Coachman Park. The city is separated ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Billing Specialist jobs
$40,692 to $47,812
Clearwater, Florida area prices
were up 1.1% from a year ago

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