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Full-time
high school, associate degree
Posted 73d ago
~40 hrs/week
Responsibilities
The Billing Specialist is responsible for the timely and accurate billing of provider services, including the preparation and submission of claims to various payers. The role involves reviewing medical records, ensuring clean claim submissions, and handling patient billing inquiries.
Requirements
Candidates should have demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance procedures, along with medical coding expertise. A high school diploma is required, with an associate degree preferred, and at least two years of medical billing experience is necessary.
Full job description
Description
POSITION DESCRIPTION:
The Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients and works rejections.
DUTIES AND RESPONSIBILITIES:
Submits claims to payers based on review of medical records and in accordance with Medicare, Medicaid, and Commercial insurance guidelines as well as FHCSWF policies and procedures.
Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
Enters charges accurately and expeditiously to ensure proper records handling and fast payment.
Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber.
Initiates private pay collections after insurance cancellation, denial or other issue and answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc.
Performs self-pay patient billing.
Prepares and sends patient statements for charges not covered by insurance.
Other duties as assigned.
Requirements
KNOWLEDGE:
Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage
Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system
Understand and adhere to all HIPAA guidelines
MS Office Suite (Excel proficiency)
Alpha-Numeric data entry
SKILLS AND ABILITIES:
High School or Equivalent (Associates Degree preferred)
2 Years Medical Billing experience
CMRS, CPB, or CPC credentials a plus
Attention to detail with strong documentation, analytic and problem-solving skills
Ability to multi-task in a fast-paced environment
Strong interpersonal written & verbal communication skill
Providing High Quality Health Care Services Accessible to All People.
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1977
Headquarters
Fort Myers, Florida
LinkedIn followers
1,103
Family Health Centers of Southwest Florida, Inc. (FHC) is a private not-for-profit organization providing services in Lee, Charlotte, and Western Hendry counties. We are committed to serving all patients regardless of their income status. We are governed by a volunteer community board made up of local residents, business, and community leaders.
The majority of our physicians are board certified and bilingual, speaking English, Spanish or Creole. For other languages not spoken by our staff or for patients with disabilities, we utilize an over the phone translation/interpretation service. FHC is committed to serving all patients regardless of their income status. We offer a discount fee scale, which allows you to pay a reduced rate for services based on your family size and household income.
According to Florida Association of Community Health Centers (FACHC) in 2019 FHC made a $103.3 million economic impact. FHC acts as a valuable employer, accounting for over 874 jobs throughout their service area. FHC is an FTCA deemed facility.
Offices: 1926 Victoria Ave, Fort Myers, Florida 33901, US
How many Administrative jobs are open in Fort Myers, FL right now?
There are currently 398 open administrative positions in Fort Myers, FL listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Fort Myers, FL?
Companies currently hiring include Family Health Centers of Southwest Florida, Cintas, Florida Cancer Specialists & Research Institute, Florida SouthWestern State College, Physicians' Primary Care of Southwest Florida, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Fort Myers, FL?
Yes — 20 of the 398 open administrative positions offer remote or hybrid work (7 remote, 13 hybrid).
How do I apply for Administrative jobs in Fort Myers, FL?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.