Commercial Billing Specialist/Job ID: 1584687
FPG Multispecialty Associates Ft. Lauderdale 3001 NW 49th Ave Suite 104 Lauderdale Lakes. Fl 33313
Job Summary
Under the direction of the Director s or designee , the Billing Specialist ensures all Commercial / Managed Care , Medicare and Medicaid claims are reviewed for claim edits , claim submission, and timely follow up , as assigned .
Duties and Responsibilities :
- Review all Manager holds in Athena and resolve the challenges so that the claims are resubmitted clean and are paid in less than 35 days
- Reporting to the Directors and Practice Managers any challenges with consistent issues with staff members quality of work and the need for training or corrective action steps
- Monitor through Athena reporting and provider documentation split shared and incident 2 billing guidelines
- Submit claims to carriers with the appropriate remarks and/or attachments during claims resolution
- Run insurance eligibility and correct claim before submission, as needed
- Pull supporting documents for annual regulatory audits, as needed
- Ensure credit balances are reviewed and resolved timely
- Assist in the charge posting and holds resolution process in all practices, when needed
- Provide education to team when needed and necessary
- Other billing assignments, within skillsets and abilities
- Any other duties as assigned
- Travel to Broward and Dade practices for training
Education
Certified coder Certificate or Degree
High School graduate or equivalent
Experience
Minimum 2- year s Commercial / Managed Care / Medicare / Medicaid billing experien ce in an acute Physician Practice setting billing for Medicare part B fee's
Working knowledge of Common Procedural Terminology (CPT) , HCPCS and ICD10 Code
Working knowledge of Federal, State, and Commercial billing guidelines
Language : Bilingual English/Spanish is preferred
Must be able to pass Background and Drug Test screenings.
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