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Lakeland Regional Health - Lakeland, FL

Position Information

Work Type:
Exempt: No

Work Schedule: Monday - Friday
Work Hours per Biweekly Pay Period: 80

Location: Business Center, US: FL: Lakeland

Position Summary

Dedicated to following up on all medical billing and claims activity initiated from within a centralized business office. The worker in this role is responsible for thoroughly managing assigned claims with accuracy and on a timely basis for achieving the appropriate reimbursement for services rendered.

Position Details

-Follow-up insurance accounts timely and accurately to secure prompt payment to the practice

- Maximize technology use for timely productivity on claims follow-up and status review

- Utilize payer websites regularly to optimally perform assigned duties as assigned, and reporting any accessibility issues to supervisor immediately to regain site access

- Follow set guidelines for the appeals process set by payers, and ensures that claims are contested on a timely manner

- Follow guidelines set by payers to appeal any denied claims on a consistent and timely basis.

- Proactive approach to communicate errors to the appropriate staff, clinics, physicians, and management.

- Meets daily productivity goals of 75-100 accounts per day

Qualifications & Experience

Essential Knowledge and Skills:

Essential:

- Knowledge of billing and coding guidelines for medical practice

- Knowledge of Medicare, Medicaid, HMO, PPO and Commercial claims

- Knowledge of basic CMS claims guidelines

- Knowledge of basic CMS claims guidelines

- Strong customer service and phone etiquette skills

Education

Essential:

Degree Level: High School or Equivalent

Degree Type: Click here to enter text.

Preferred:

Degree Level: Associate

Degree Type: Business or Healthcare Administration

C ertifications

Essential Preferred:

Medical Billing and Coding certification

Essential Experience

- Minimum of one to four years of recent insurance/Medical A/R collections experience required.

- Experience with billing and coding in a physician practice required.

- Excellent computer skills with prior exposure to use of Microsoft Office suite.

- Experience in customer service field with a medical setting. ... Learn More

About Lakeland Regional Health

Lakeland Regional Health has been categorized as Health Care : Health Care Services & Hospitals employer and has a rating of 3.5 / 5 out of a total count of 79 ratings

Posted 30+ days ago - Save Job

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