Medical Billing Specialist jobs in Tallahassee, FL

Medical Billing Specialist reviews and verifies medical bills and invoices with accounts receivable ledger and patients. Ensures record accuracy, follows up, and makes necessary revisions. Being a Medical Billing Specialist processes changes in information system to support accurate and efficient billing process and financial close. Follows proper medical and insurance claim processes. Additionally, Medical Billing Specialist typically requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Medical Billing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Billing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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INSURANCE BILLING SPECIALIST, REVENUE CYCLE MEDICAL GROUP
  • South Georgia Medical Center
  • Valdosta, GA FULL_TIME
  • Description

    Location: SGMC Patient Financial Services
    Department: REVENUE CYCLE MEDICAL GROUP
    Schedule: Full Time, 8 HR Day Shift, 8-5

    POSITION SUMMARY:

    Responsible for processing incoming requests from various departments to bill manual and electronic claims to ensure timely and complete collection of all dollars assigned. Verifying patients’ insurance coverage. Answering billing questions from internal and external customers. Responsible for the timely billing, correction of edits, follow up of unpaid balances, and appealing of denials of professional charges for employed and contracted SGMC providers. Verifying patient’s insurance coverage and benefits. Answering billing questions from internal and external sources. Responsible for subset of payers and/or alpha split of payer groupings. Will be accountable for the overall health of the accounts receivables assigned. Responsible for daily review of correspondence, outstanding insurance credit balances, over-posted account balances, and paid claims with outstanding balances.

    KNOWLEDGE, SKILLS & ABILITIES:

    • Prior professional billing experience recommended.
    • Compiles attachments, corrects claim edits, updates and bills on a daily basis all claims received from the electronic system.
    • Submits claims in Epic PB Resolute Billing system.
    • Documents and updates status of unpaid insurance balances.
    • Researches and analyzes various billing reference manuals to review billing accuracy.
    • Documents electronic system regarding returned faxes and Certified Return Receipts. Completes production logs. Processes outgoing mail. Verifies Medicare, Medicaid, and other 3rd Party eligibility using various systems.
    • Technical/system skills/knowledge: PC and Windows literacy required; prefer knowledge of, or experience with, practice EHR systems, Medicare, Medicaid, and other payer web portals, Encoder Pro, Microsoft Office applications, and Experian claim source clearinghouse portal.
    • Extensive knowledge of insurance/managed care, to include: Medicare; Medicaid (Georgia and Florida); Peach State; Wellcare; CareSource, Amerigroup; Tricare (Standard, Extra and Prime); VA; Disability Adjudication Services; Vocational Rehabilitation; Children’s Medical Services; Cancer State Aid; Crime Victim’s Compensation Program; Knight’s Templar Eye Foundation; Managed Care (HMO, PPO, POS, Medicare HMO); COBRA; Worker’s Compensation; Blue Cross (Georgia, Florida, out-of-state and FEP); and Institutional Billing.
    • Working knowledge of CPT-4, HCPCS, and ICD-10.
    • Knowledgeable of insurance and reimbursement process.
    • Must have a thorough understanding and knowledge of: patient type; financial class; insurance master; place of service codes; physician coding;; relationship codes; accommodation, occurrence, value and condition codes.
    • Related regulatory and legal requirements:; Medicare Secondary Payer Questions; medical necessity; Medical Reviews and Appeals. Interacts with:; patients; other departments; physician offices; acute medical care providers; insurance companies; employers; intermediaries; utilization review companies; state regulatory agencies (GMCF, Medicaid); and attorneys.
    • Knowledge of medical terminology.
    • Strong verbal/written communication skills, highly organized with the ability to prioritize work.
    • Able to communicate effectively with a wide range of individuals.
    • Substantive communication required with physicians, insurance companies, customers and staff.
    • Must be highly organized and self-motivated, requiring little or no supervision to carry out duties. Ability to prioritize and execute multiple tasks to accomplish timely and effective resolution of patient accounts.
    • Working knowledge of medical terminology, revenue, CPT and ICD-10 codes, and 1500 forms.
    • Ability to review and completely understand an EOB, recognize problems, and communicate payer denial trends to supervisor which prohibit payment from insurance carriers.
    • Ability to maintain acceptable levels of productivity with minimal errors. Requirement is 60 accounts minimum per day once training is completed.
    • Strong analytical, interpersonal and communication skills required.
    • Excellent PC and data entry skills essential.
    • Familiarity with HIPAA privacy requirements for patient information.
    • Excellent customer service skills. CPAR certification highly desirable.

    WORKING CONDITIONS- ADA INFORMATION:

    Modern, well lighted, air conditioned, general work area. Moderate noise level. Normal business setting with moderate to high stress in accomplishing daily responsibilities. Subject to irregular schedule including evenings, nights, weekends and holidays. Occasional overtime required. Ability to sit, stand or walk for moderate periods. Safe and efficient operation of office equipment including: copier, fax, printers, computer, telephone and adding machine. Reading of printed materials, including physician orders. Listening and verbally responding to customers, staff, physicians and visitors. Moderately heavy lifting {0-25 lbs.}, reaching, stooping, pushing, pulling, bending, and twisting.

  • 2 Months Ago

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Medical Billing Specialist - Onsite (C)
  • IntegriSource, Inc.
  • Tallahassee, FL CONTRACTOR
  • Medical Billing Specialist (onsite in Tallahassee, FL)We have an amazing opportunity with our partner client who is adding a Medical Billing Specialist to their team in Tallahassee, FL. They are speci...
  • 22 Days Ago

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Insurance Specialist
  • Accounts Billing Services
  • Bainbridge, GA FULL_TIME
  • Job Summary:ABS is seeking a detail-oriented and experienced Billing/Insurance Specialist to join our team. As a Billing/Insurance Specialist, you will be responsible for accurately processing and sub...
  • 4 Days Ago

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INSURANCE BILLING SPECIALIST, PATIENT FINANCIAL SERVICES
  • South Georgia Medical Center
  • Valdosta, GA FULL_TIME
  • Description Location: SGMC Patient Financial Services Department: PATIENT FINANCIAL SERVICES Schedule: Full Time, 8 HR Day Shift, POSITION SUMMARY: Responsible for processing incoming requests from va...
  • 1 Month Ago

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INSURANCE BILLING SPECIALIST, PATIENT FINANCIAL SERVICES
  • South Georgia Medical Center Careers
  • Valdosta, GA FULL_TIME
  • Description Location: SGMC Patient Financial ServicesDepartment: PATIENT FINANCIAL SERVICESSchedule: Full Time, 8 HR Day Shift, POSITION SUMMARY:Responsible for processing incoming requests from vario...
  • 1 Day Ago

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Medical Billing Office - Payment Posting Specialist
  • Southern Vitreoretinal
  • Tallahassee, FL FULL_TIME
  • We are looking for an experienced Payment Posting Specialist to join our Billing Office at Southern Vitreoretinal Associates! The Payment Posting Specialist is responsible for posting insurance paymen...
  • 1 Day Ago

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0 Medical Billing Specialist jobs found in Tallahassee, FL area

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Travel Nurse RN - Cardiac Cath Lab - COVID19 - $2,265 per week
  • TRS Healthcare
  • Tallahassee, FL
  • LanceSoft is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in TALLAHASSEE, Florida. Job Descriptio...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Cardiac Cath Lab - $2,130 per week
  • TRS Healthcare
  • Tallahassee, FL
  • Travel Nurses, Inc. is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Tallahassee, Florida. Job ...
  • 3/28/2024 12:00:00 AM

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Behavioral Health Case Manager
  • Sanitas
  • Tallahassee, FL
  • Job Details Job Location Tallahassee - Apalachee - Tallahassee, FL Position Type Full Time Education Level Graduate Degr...
  • 3/27/2024 12:00:00 AM

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Medical Technologist
  • HCA Florida Capital Hospital
  • Tallahassee, FL
  • Description HCA Florida Capital Hospital 2626 Capital Medical Blvd Tallahassee, FL 32308 Last year our HCA Healthcare co...
  • 3/26/2024 12:00:00 AM

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Medical Laboratory Technologist - Lab /Point of Care Testing - Sign-On Bonus!
  • Tallahassee Memorial Healthcare
  • Tallahassee, FL
  • WHO WE ARE & WHAT WE DO: Tallahassee Memorial HealthCare (TMH) is a private, nonprofit community-based healthcare system...
  • 3/26/2024 12:00:00 AM

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Pharmacy Tech Med History
  • HCA
  • Tallahassee, FL
  • Introduction Do you have the career opportunities as a(an) Pharmacy Tech Med History you want with your current employer...
  • 3/26/2024 12:00:00 AM

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Clinical Laboratory Technologist in Crawfordville, Florida
  • K.A. Recruiting, Inc.
  • Crawfordville, FL
  • Apply for this great opportunity as a Medical Technologist/MLT position in the Crawfordville, Florida area for permanent...
  • 3/25/2024 12:00:00 AM

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Non licensed Clinic Supervisor
  • HCA
  • Tallahassee, FL
  • Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for ou...
  • 3/25/2024 12:00:00 AM

Tallahassee (/ˌtæləˈhæsi/) is the capital city of the U.S. state of Florida. It is the county seat and only incorporated municipality in Leon County. Tallahassee became the capital of Florida, then the Florida Territory, in 1824. In 2017, the population was 191,049, making it the 7th-largest city in the U.S state of Florida, and the 126th-largest city in the United States. The population of the Tallahassee metropolitan area was 382,627 as of 2017[update]. Tallahassee is the largest city in the Florida Panhandle region, and the main center for trade and agriculture in the Florida Big Bend and S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Billing Specialist jobs
$38,679 to $45,447
Tallahassee, Florida area prices
were up 1.5% from a year ago

Medical Billing Specialist in Melbourne, FL
In some workplaces, a medical billing specialist may be known as a medical biller and coder, while in other workplaces medical biller and medical coder are two separate jobs.
December 31, 2019
Medical Billing Specialist in San Bernardino, CA
The claim is that gives will buy your earnings as a guaranteed biller even if you have no calculatorand the end combine you the best billing business will pay you find many.
December 05, 2019
Medical Billing Specialist in Columbus, MS
The Medical Biller will follow up later to make sure the bill is paid by the insurer.
January 31, 2020