Patient Service Specialist /Job ID: 1584687 at Florida Physician Group Inc

FPG Multispecialty Associates Ft. Lauderdale 3001 NW 49th Ave Suite 104 Lauderdale Lakes. Fl 33313

Job Summary

Under the direction of the Directors 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:

• Hospital Charge Posting- receiving face sheets and hospital charges, and creating claims to submit to the insurance payor.
• Reporting to 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

• Assist in the charge posting and holds resolution process in all practices, when needed

• Other billing assignments, within skillsets and abilities

• Any other duties as assigned

• Travel to Broward and Dade practices for training

Education

High School graduate or equivalent

Experience

Minimum 2-years Commercial / Managed Care / Medicare / Medicaid billing experience 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.