Overview
InBloom Autism Services has created an inviting and engaging, play-based environment for children with Autism Spectrum Disorder (ASD) to develop their skills as well as a supportive, value-driven organization for our team members to do what they do best. We offer an extensive support model for the purpose of continuing the growth and development of our teams. We never stop learning.
We are looking for an experienced Medical Billing Specialist for our Clinical Support Center in Ft. Lauderdale who likes the challenge of a fast-paced environment. Ideally, the candidate must possess a willingness and ability to learn quickly and be a motivated and detail-oriented team player. It is important to be polished in appearance and possess great communication skills, professionalism and always with a positive attitude.
The role of the Medical Billing Specialist is to send accurate and timely billing each week to all insurances, including third-party payers and Medicaid. This includes resolution of any billing problems and issues that may arise in the process that could impact a successfully high clean claim rate. Additionally, the Billing Specialist will work all rejections within the clearinghouse to ensure timely filing of all claims.
Responsibilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Ensure proper billing processes are followed and efficiencies are created to increase collection of revenue.
- Prepare weekly audits for overlapping, EVV, and authorizations.
- Completes weekly billing for all payers including BCBS, UHC, Cigna, Aetna, as well as Medicaid and other third-party payers.
- Strong understanding of prior authorization process.
- Maintains patient demographic information and data collection systems.
- Verify imported claims in Central Reach
- Works all claim rejections within clearinghouse daily.
- Working knowledge of Medicaid portals.
- Review claims in incomplete, hold, and rejected folders.
- Completes unbilled report in timely manner.
- Participates in development and documentation of procedures, forms, and Standard Operating Procedures (SOP’s).
- A strong understanding of which payers, including contracts, fee schedules and in-network/out-of-network status.
- Ability to understand CPT, Procedure Codes, Diagnosis Codes.
- Working knowledge of payer websites for claim status, patient eligibility, and to retrieve an EOB.
- Understand patient statements and provide great service to patient families, including timely response to billing emails and primary contact for customer service phone lines.
- Performs other related duties as necessary or assigned.
Qualifications
- Good oral and written communication skills.
- Ability to deal professionally, courteously, and efficiently with the public and to remain calm under stress.
- Able to work in a fast-paced environment; effectively manage and use resources to successfully meet the competing deadlines of a variety of tasks, problems, and projects.
- Strong attention to detail.
- Culture of team, positive attitude, and ability to handle change effectively and optimistically.
- Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.
- Knowledge of medical terminology and spelling and office ethics.
- 2-3 years of healthcare billing and/or collections experience.
- Intermediate proficiency in Microsoft Word, Excel, PowerPoint, and Outlook
The Full Package
- Above-market compensation
- Quarterly bonus opportunities
- Health, Vision, Dental benefits
- PTO that increases with tenure
- Birthday PTO
- Paid holidays
- Life Insurance and Disability coverage
- 401(k) with company match
Work environment
- Noise Level is moderate to loud
Physical demands
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift 15 pounds at times.
Travel required
Affirmative Action/EEO statement
InBloom Autism Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
