Enrollment & Billing Representative jobs in Pensacola, FL
Enrollment & Billing Representative is responsible for the accurate enrollment and billing process for an insurance organization. Maintains related documents, updates corresponding records and responsible for enrollment and billing query. Being an Enrollment & Billing Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. The Enrollment & Billing Representative possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Recently Added Enrollment & Billing Representative jobs
Hospital Billing Representative I
- Baptist Health Care
-
Pensacola, FL
FULL_TIME
-
Job Description
The Hospital Billing Representative I is responsible for various tasks in the Accounts Receivables reconciliation process including but not limited to: examining, correcting and consistently updating Patient Health Information to ensure accurate insurance billing/payment/follow-up; submit bills electronically to payers using designated claims software for the corporation; reviewing rejected claims in such billing software to scrub claims and send them clean to the payer to avoid denials; applying appropriate contractual and self-pay adjustments; resolving patient and insurance carrier inquiries; communicate with physician offices, as necessary, to obtain authorizations or notify them of medically unnecessary orders for diagnostics; using on-line systems provided by multiple payers to verify eligibility and benefits and checking claim status; maintain appropriate/ consistent documentation on accounts worked; apply proper account management principals to accounts to ensure accurate billing; identify non-payment trends by payer and notify management; work based on goals set by management for productivity of validated claims being submitted on a daily basis; makes account corrections as necessary to ensure prompt payment of claims, regardless of which department is responsible for obtaining this information; prints and mails medical records and itemized statements as necessary for payers requiring paper claims submissions; if necessary, phones patients or employers to verify health insurance or worker's compensation information in order to submit claims timely and accurately; maintains a high level of professionalism and communication when it comes to working with other areas of the business office or revenue cycle in an effort to submit bills timely and accurately
Responsibilities- Responsible for billing process for patient accounts including but not limited to: examining, correcting and consistently updating patient health insurance claims to ensure prompt insurance payment/follow-up.
- Resolves patient and insurance carrier inquiries related to billing for the revenue cycle.
- Uses on-line systems provided by multiple payers to verify eligibility and benefits and checking claim status appropriately.
- Makes telephone calls to the payer to inquire about denial trends in billing to ensure claims are sent "clean".
- Maintains appropriate/consistent documentation on accounts worked within the patient accounting systems.
- Reviews memos on accounts within patient accounting systems for all reprinted or rebilled claims to ensure any necessary updates/changes are made before submission to the payer.
- Identifies non-payment trends by payer and notifies systems coordinators and management in order to change billing tables to bill accurately or to adjust off timely, to reduce number of A/R days.
Qualifications
Minimum Education
- High School Diploma or Equivalent Required
Minimum Work Experience
- 6 months relevant revenue cycle experience (patient access, financial assistance, insurance billing, patient and/or insurance collections, reimbursement, customer service, payer contracting, or coding) Required
Required Skills, Knowledge and Abilities
- Specific applications to use PC applications to achieve work goal.
- Medical Terminology.
- Written and verbal communication skills.
- Coding.
- Excel, WORD, Office applications: email, fax module, and scan PDF skills.
- Ability to work in a fast paced work environment.
- Ability to meet deadlines.
- Possesses organizational and time management skills.
- Conforms to standards.
- Managing projects.
- Face-to-face customer service,
- Knowledge of patient and insurance collection process, billing process, scheduling, and registration/
- Works well with other departments to achieve goal.
- Ability to interpret insurance coverage and reimbursement.
- Patient privacy.
- Coordination patient needs with various service levels
- Data entry with 10 key calculator.
- Multi-line phones.
- Works well within a team structure.
About Us
Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. - 16 Days Ago
Patient Intake Specialist/Billing Representative
- NEXT Therapy Solutions
-
Pensacola, FL
FULL_TIME
- DescriptionNEXT Patient Services Representatives (PSRs) are an integral part of the NEXT Therapy Solutions Team. NEXT PSRs interface daily with patients, insurance providers and clinical teammates to ...
- 15 Days Ago
PRE ENROLLMENT SUPPORT COORDINATOR
- The State of Florida
-
Pensacola, FL
FULL_TIME
- Requisition No: 827011 Agency: Agency for Persons with Disabilities Working Title: PRE ENROLLMENT SUPPORT COORDINATOR - 67016163 Position Number: 67016163 Salary: $36,178.00 -$36,614.80 Annually Posti...
- 4 Days Ago
Enrollment Educator III
- Spectraforce Technologies
-
Pensacola, FL
FULL_TIME
- Title: RN Health Educator (PRN) - Pensacola, Florida Duration: 8 Months Location: Remote - Must reside in Pensacola, FL Pay-rate is $125/hr. while presenting and $20/hour for travel-time. * Excellent ...
- 26 Days Ago
Billing Specialist
- Prime AE Group Inc
-
Pensacola, FL
FULL_TIME
- PRIME AE Group, Inc. (www.primeeng.com), a multi-faceted and rapidly growing A/E firm with 20 office locations in ten states and over 475 employees throughout the Midwest, Mid-Atlantic, Southeast, and...
- 8 Days Ago
Billing Specialist
- HCA Florida West Women's Health
-
Pensacola, FL
FULL_TIME
- Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Billing Specialist opening with HCA Florida West Women's Health today and find...
- 2 Days Ago
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0 Enrollment & Billing Representative jobs found in Pensacola, FL area
Customer Service Rep
- Lincare Holdings
-
Pensacola, FL
- Job Description work directly with medical professionals and physicians to facilitate patient care advocate for and work...
- 4/16/2024 12:00:00 AM
RSA - DOT (CDL - A Driver)-Pensacola, FL
- Ben E. Keith Co
-
Pensacola, FL
- For more than a century, Ben E. Keith Company has been a leader in fine food and premium beverage distribution, and we s...
- 4/16/2024 12:00:00 AM
Manager Cardiovascular Lab Services - OBL Pensacola
- SCA Health
-
Pensacola, FL
- Overview: Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physicia...
- 4/15/2024 12:00:00 AM
Bookkeeper/Accounts Payable
- McDonald's
-
Pensacola, FL
- Description: Nowak Enterprises, Inc., is seeking a professional, part-time bookkeeper for its restaurant operations and ...
- 4/13/2024 12:00:00 AM
Insurance Follow Up Representative I- Remote
- Baptist Health Care
-
Pensacola, FL
- Job Description Salary Range: $13/hr-$16/hr The Insurance Follow Up Rep is responsible for various tasks in the accounts...
- 4/13/2024 12:00:00 AM
Warehouse Support Staff
- SpartanNash Military
-
Pensacola, FL
- At SpartanNash, we deliver the ingredients for a better life through customer-focused innovation. We do this for our sup...
- 4/13/2024 12:00:00 AM
Auto Service Advisors, $80,000 - $100,000, Exper. Req'd!
- Bob Tyler Toyota
-
Pensacola, FL
- 7201 Pensacola Blvd., Pensacola, FL 32505 AUTOMOTIVE SERVICE ADVISOR Competitive Pay Scale! $80,000 to $100,000 2,500 Se...
- 4/13/2024 12:00:00 AM
Accountant I - 64058857
- State of Florida
-
Pensacola, FL
- Requisition No: 825633 Agency: Department of Health Working Title: ACCOUNTANT I - 64058857 Pay Plan: Career Service Posi...
- 4/13/2024 12:00:00 AM
About Pensacola, Florida
Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012.
Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Enrollment & Billing Representative jobs
$30,895 to $39,267
Pensacola, Florida area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does an Enrollment & Billing Representative do?
Enrollment & Billing Representative in Boca Raton, FL
Showing up in person often demonstrates determination and initiative that most employers will find alluring in a potential representative.
February 13, 2020