Billing Specialist
Jacksonville, FL
Description
Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement.
Responsibilities:
- Reporting of carrier performance according to contracted fee schedule
- Denial management
- Good oral and written communication skills
- Effective Problem-solving skills and make independent decisions
- Work effectively in a team environment
- Perform consistent, assertive, efficient and timely follow-up on accounts as determined by Management
- Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements
- Medicare, Medicaid, and/or third party payer experience in dealing with healthcare insurance companies through phone follow-up and letter correspondence during the appeals or denial resolution process
- Corrects billing errors, edits, overlaps, etc., and submit clean claims
- Review payment variances and remittances for resolution in an efficient and timely manner for processing of patient and/or insurance refunds.
- Identify payer issues or trends and update Manager in a timely manner, providing concrete examples for Management to review.
- Other duties as assigned.
Requirements
- Minimum of a high school diploma, coding and billing courses helpful.
- Additional training in Athena and Trizetto a plus.
- Skill in computer applications
Full time - Monday to Friday
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Ability to commute/relocate:
- Jacksonville, FL 32223: Reliably commute or planning to relocate before starting work (Required)
Experience:
- ICD-10: 1 year (Preferred)
Work Location: In person