Billing Specialist - Lutz

Role and Responsibilities

• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing questions and complaints.
• Prepares, reviews and sends patient statements.
• Evaluates patient’s financial status and establishes budget payment plans; follows and reports status of delinquent accounts.
• Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.
• Appeals denied claims.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Works patient and insurance AR.
• Sets up and maintains provider insurance credentialing.

Professional

• Demonstrates initiative and responsibility.
• Able to perform repetitive tasks without loss of focus.
• Adheres to ethical principles.
• Prioritizes and can perform multiple tasks.
• Adapts to change.
• Attends all team meetings and mandatory in-service training/education.
• Maintains confidentiality and documents accurately.
• Uses appropriate guidelines for releasing patient information.
• Conducts self in accordance with Suncoast’s employee manual.
• Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA.

Legal

• Maintains confidentiality and documents accurately.
• Uses appropriate guidelines for releasing patient information.
• Conducts self in accordance with Suncoast’s employee manual.
• Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA.

Core Competencies

• Efficiency.
• Attention to details.
• Organized.
• Punctual.
• Takes initiative, proactive.
• Team Player.
• Honesty/Integrity.
• Flexible.
• Calm under pressure.
• A “Doer”, persistence.
• Problem solver, Strategic thinking, Creativity.
• Analytical skills.
• Clear and concise communication/Listening skills.
• Quick Learner, Intelligence.
• Follow through on commitments.
• Enthusiastic, Friendly, Positive attitude.
• Openness to advice and constructive criticism.
• Strong work ethic.

Physical Demands

• Prolonged sitting/walking.
• Repetitive motion of head, neck, hands, wrists and arms.
• Use of telephone, headset and office equipment such as computers, faxes, scanner copiers.
• Multitask position.
• Lifting up to 25lbs.
• Extensive reading and writing/typing.

Qualifications And Education Requirements

• High school diploma, AA degree or higher.
• Accounts Receivable and Billing experience preferred.
• Billing and coding certification a plus, knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred.
• Pathology and Dermatology experience a plus.