Billing Specialist

Job Type Full-time Description Billing Specialist Administration office Fort Myers, FL Description Job Summary: The Billing Specialist is responsible to provide support to providers, coworkers and customers internally and externally on billing related inquiries. The employee works/reviews all claims prior to their submission using department guidelines and Athena. Responsibilities & Standards: Demonstrate excellent interpersonal skills with patients, coworkers and insurance carriers.Well-versed with all HIPAA Guidelines to ensure the protection of patient information from unauthorized inquiries.Process and post payments when necessaryWorks hold accounts in Athena within a timely mannerResolve patient complaints within a minimal timeframe, same day whenever possibleMeet timelines for reprocessing Athena claims after updating the account with new information as provided by patients or physicians within the guidelines and timeframes permitted by the insurance carrierAdvanced knowledge of CPT codes and modifiersPhones answered & voicemails returned within same dayClaim adjudication carrier rules knowledgeConducts themselves in accordance with Elite DNA Therapy Services Policies and Procedures including the Code of ConductMeets or Exceeds monthly performance goals, expectations and reviewsUses Paid Time Off effectivelyKeeps overtime to a minimum/has any overtime approved by DirectorActively participates in team meetings and educational opportunitiesPerforms other duties as assigned. Requirements Requirements Education/Training Level: Thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers and fee schedule differences. Requires understanding of how to decipher explanation of benefits and explain the impact to the customer. Licenses and Certifications: NoneCommunication Skills: Proficient oral and written communications, and project management skills.Excellent attention to detail, problem-solving and customer serviceAbility to conduct telephone conversations with patients regarding account resolution and payment collection.Must demonstrate positive interpersonal relationship skills with individuals and groups in a wide variety of settingsInsurance terminology knowledge essential Technology Skills: Effectively uses Electronic Health RecordsTyping Skills Compensation: $20.00–$23.00/hour, commensurate with experience and qualifications. Salary Description $20-23/hour