Billing / Coding Specialist

Job Description Job Description Summary: The Billing / Coding Specialist is responsible for multiple processes within the revenue life cycle for each claim, also the timely collection of insurance and patient accounts receivable for the practice. This position requires the successful completion of all activities pertaining to the billing and collection of patient and insurance accounts. Minimum Qualifications: Education & Experience

• High School Diploma or GED required

• Two years of experience in medical billing required

• Two years of experience in ophthalmic billing, patient collections, and coding preferred

• CPC Certification and Ophthalmic Certification in coding preferred Essential Skills and Abilities:

• Proficient computer skills

• Proficient phone skills

• Detail Oriented

• Ability to problem solve

• Ability to work in a fast-paced environment while maintaining accuracy

• Ability to work well in a team environment

• Self-directed, highly motivated, and ability to multi-task in a fast-paced environment

• Excellent communication skills, proper grammar and writing capability

• Possess a caring, patient, and friendly attitude

• Excellent organizational skills

• Must have a complete understanding of Medicare, Medicaid, and commercial insurance plans

• Must be familiar with ICD-10 and CPT Codes

• Knowledge of or ability to learn understanding of medical terminology, ophthalmic diseases, terms, and spelling of same Duties:

• Reviews the aging collection report as appropriate to ensure the timely collection of receivables

• Possesses a complete hands-on working knowledge of applicable billing & collections software

• Ability to review, submit, and monitor collection agency accounts, as needed

• Answer the telephone and emails and responds to all billing questions in a timely and efficient manner

• Monitor changes in insurance plans and policies. Inform leaders of changes immediately

• Prepares again reports for all insurance plans and patient balances

• Accepts verbal and written credit card information with the highest level of confidentiality

• Identifies unpaid patient accounts or insurance claims that are more than 30 days old on a continuous basis and works on collection of same

• Enters memos on patient ledger regarding information sent or received from insurance companies or patients

• Reviews patient balances on the aging receivable report and takes corrective action as needed to improve insurance and patient collections.

• Support the practice core values, mission, vision, and purpose statements to develop and enhance patient experience and care

• Maintain practice confidentiality, follow legal, HIPAA & OSHA guidelines, follow the rules and regulations of the practice as documented in the practice employee manual

• Other duties as assigned Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

• The majority of the time on-the-job is spent sitting and walking

• At times, the job may require some lifting up to 50 pounds

• This job requires the following types of vision: close, distance, peripheral and depth perception

• Must be able to communicate clearly in person and over the telephone and in email

• Hearing must be adequate to perform job duties in person and over the telephone

• Typical noise level for the work environment of this job is moderate (i.e. clinical office with phones, computers, printers, testing equipment, patient waiting areas) Other:

• This job description is intended only to describe the general nature and level of work performed and should not be interpreted as an exhaustive list of all duties, skills, and responsibilities.

• A valid Florida driver’s license and reliable transportation is required as this position may be required to travel to various satellite locations as needed for work assignments. Job Type: Full-time Expected Hours: 40 per week Schedule:

• Monday to Friday

• One early morning or late night per week may be required

• Must be able to attend one monthly meeting before or after normal business hours (advance notice will be provided)

• Must be able to attend one monthly training event before or after normal business hours or on a Saturday (advance notice will be provided) Work Setting:

• In-Person, Private Practice Benefits: - 401(k) & 401(k) Matching

• Accidental Death & Dismemberment (AD&D) Insurance

• Health Insurance

• Health Savings Account

• Dental Insurance

• Disability Insurance

• Life Insurance

• Vision Benefits & Discounted Services

• Employee Assistance Program

• Employee Discount

• Opportunities for Advancement

• Paid Time Off

• Paid Training

• Professional Development Assistance

• Referral ProgramTop of Form Eye Specialists of Mid-Florida is an Equal Opportunity Employer. We do not discriminate against any individual based on race, color, religion, sex, national origin, age, disability, genetic information, military status, or any other characteristic protected by law. We are a drug and tobacco-free workplace. Please note that this includes the use of medical marijuana, cigarettes, cigars, hookah, or vaping of any kind.