Billing Specialist I | Gainesville | #40613 | 11.21

Location: Gainesville, FL
Rate of Pay: $13.00-17.00/hour


The Billing Specialist performs various duties such as; opening and sorting departmental mail, verifying deposits according to department procedure, posting, verifying, and reconciling all payments and adjustments in accordance with current policies and procedures. Candidate must be able to validate balances and adjust account balances appropriately in the EMR. The Billing Specialist performs specialized Billing and Collections functions, including; denials, rebilling charges, following up on claims status as assigned by supervisor, receivables follow-up, using experience in claims processing to contact insurance companies to provide additional information as needed, verifying claim status and seeing claims through to finalization. Contacts clients regarding insurance denials, setting up payment plans and working closely with the client to fulfill their financial responsibility. In addition, the Billing Specialist should be knowledgeable in Commercial Insurance, Medicaid, Managed Medicaid, Medicare, Contracts billing requirements and coding. The Billing Specialist also performs general revenue cycle functions that include various duties as verifying deposits according to department procedure, billing 3rd party insurance, Medicare, Managed Medicaid and Medicaid FFS, and working denials. Performs accounts receivables follow-up, using experience in claims processing to contact insurance companies to provide additional information as needed, verifying claim status and seeing claims through to finalization. The Billing Specialist should be able to work with minimal supervision.


Minimum Qualifications:

An Associate of Arts (AA) degree, preferably in Business, and experience in general clerical, secretarial, receptionist experience, preferably including third party billing

OR

Graduation from a standard high school or its equivalent and two years of experience in a clinical setting and/or dealing with third-party billing.


Essential Duties/Responsibilities:

·  Continuously improve the efficiency and effectiveness of the Billing process.

·  Understand and have a broad overview of contract and insurance billing to be able to support other Billing staff positions.

·  Processing denials

·  Processing the Aging Report (AR)

·  Managing client accounts

·  Claiming-electronically and paper

·  Maintain billing records

·  Maintain Contract, Self pay, and Inpatient Billing

·  Manually post all payments, adjustments, deductibles, co-payments and any other payments or adjustments to patient accounts.

·  Verifying and reconciling payments

·  Process approved refunds on credit balances

·  Ensuring copays/deductibles processed accordingly to the EOB

·  Assist others as needed


Knowledge, Skills, Abilities:

Specific competencies required are identified on a department/program specific basis and identified in each employee's Competency Checklist. 


Meridian is an Equal Employment Opportunity Employer.  We are fully committed to attracting, retaining, developing and promoting the most qualified employees.  All qualified applicants will receive consideration for employment regardless of race, color, religion, sex, gender identity or expression, sexual orientation, pregnancy, status as a parent, national origin, age, marital status, disability (physical or mental), family medical history or genetic information, political affiliation, military service or because they are a protected veteran or other non-merit based factors.