Medical Billing Specialist

About the role

We are looking for a competent, conscientious, service-oriented individual with strong character to perform medical billing functions at one of our gastroenterology practices. This individual will provide exceptional customer service while primarily handling billing-related tasks and supporting front office operations. The role requires flexibility to perform a variety of duties and strong interpersonal skills to interact professionally with patients, physicians, and other personnel.

Responsibilities

• Accurate coding according to compliance guidelines, assigning and verifying ICD-10 and CPT codes based on provider documentation.
• Ensure coded services, provider charges, and medical record documentation meet appropriate guidelines or standards.
• Maintain working knowledge of CPT and ICD-10 coding principles, and third-party requirements pertaining to billing and documentation.
• Perform insurance verifications and update EHR (Electronic Health Record).
• Research discrepancies and provide problem resolution.
• Charge entry and posting payments.
• Follow up with various insurance companies.
• Provide superior customer service to patients and vendors.
• Patient registration for new patient scheduling.
• Charge capture of physician services as necessary.
• Participate in patient financial assistance programs.
• Maintain current HIPAA and other compliance training.
• Reconcile daily charges and payments received; prepare daily bank deposit.
• Assist in collection efforts via phone.
• Knowledge of documentation and coding for Risk Adjustment.
• Other duties as assigned.

Requirements

• 2 years of medical billing experience (Required).
• 2 years of medical office experience (Required).
• 1 year of specialty office experience (Required).
• CCMA Certification (Preferred).
• Criminal background and drug screening required.
• Excellent professional references.

This position works under the direction of the division's Office Manager and Gastro Florida's Billing Director.