Clearwater, Florida, United States · Hybrid
Job DetailsJob Location: Clearwater, FL 33763Position Type: Full TimeEducation Level: High SchoolTravel Percentage: Remote with travel for training/meetingsJob Shift: DayJob Category: Central Business Office- Hybrid/Remo…
Skills: Medical Billing, Accounts Receivable, Coding, Quality Assurance, Compliance
Spring Hill, Florida, United States · On-site
Job DetailsJob Location: Spring Hill, FL 34609Position Type: Full TimeEducation Level: High SchoolTravel Percentage: Up to 25%Job Shift: DayJob Category: Clinical Back OfficePosition Summary: The Allergy Technician serve…
Skills: Allergy testing, Immunotherapy, Patient education, Electronic medical record, Clinical support
Orlando, Florida, United States · On-site
Ensure patients are financially and clinically cleared for care by managing insurance authorization, pre-certification, and registration processes that support timely access to diagnostic services. At SimonMed Imaging, t…
Skills: Insurance verification, Pre-authorization, Pre-certification, Revenue cycle management, Patient registration
Delray Beach, Florida, United States · On-site
$98k–$172k/yr
Position Summary... What you'll do...Are you ready to be at the forefront of patient care and make a impact in your community? As a Staff Pharmacist at Walmart, you will be empowered to share your clinical knowledge and …
Skills: Pharmaceutical care, Patient counseling, Immunization administration, Regulatory compliance, Customer service
Coral Springs, Florida, United States · On-site
$98k–$172k/yr
Position Summary... What you'll do...Are you ready to be at the forefront of patient care and make a impact in your community? As a Staff Pharmacist at Walmart, you will be empowered to share your clinical knowledge and …
Skills: Pharmaceutical care, Dispensing prescriptions, Patient counseling, Immunization administration, Regulatory compliance
Port Saint Lucie, Florida, United States · On-site
$98k–$172k/yr
Position Summary... What you'll do...Are you ready to be at the forefront of patient care and make a impact in your community? As a Staff Pharmacist at Walmart, you will be empowered to share your clinical knowledge and …
Skills: Pharmaceutical care, Dispensing prescriptions, Patient counseling, Immunization administration, Regulatory compliance
South Ponte Vedra Beach, Florida, United States · On-site
About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jackso…
Skills: Medical office coordination, Prior authorizations, Chart preparation, Medication refills, Patient triage
Jacksonville, Florida, United States · On-site
About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jackso…
Skills: Medication preparation, Medication distribution, Inventory management, Patient record maintenance, Omnicell dispensing
Miami Beach, Florida, United States · On-site
As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinic…
Skills: Oncological psychiatry, Consultation-liaison psychiatry, Behavioral health, Patient-centered care, Multidisciplinary team collaboration
Ocala, Florida, United States · On-site
Program Directors are responsible for leveraging their expertise to develop, maintain and deliver education services to students through: Creating and Maintaining core curriculum across the institution Communicating and …
Skills: Curriculum Design, Instruction, Program Administration, Academic Advising, Radiologic Technology
Clearwater, Florida, United States · Remote Solely
$34/hr–$44/hr
PaceMate™ Loop Specialist (full-time, remote) Primary Location: All U.S. Locations (remote) Why work at PaceMate? Recognized as a Top 100 Healthcare Technology Company by Healthcare Technology Report, PaceMate is one of …
Skills: Cardiac rhythm management, Remote monitoring, Implantable loop recorder, ECG/EGM interpretation, Arrhythmia recognition
Daytona Beach, Florida, United States · On-site
Night (United States of America) Certified Nursing Assistant - Medical/Surgical Post/Surgical The CNA provides direct and indirect care to patients under the direction of a Registered Nurse or a Licensed Practical Nurse.…
Skills: Patient care, Vital signs monitoring, Fluid intake and output recording, Documentation, Computer skills
North Miami, Florida, United States · On-site
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Skills: Clinical information systems, System analysis, Software testing, Project management, Workflow validation
Palm Springs, Florida, United States · On-site
$15/hr–$19/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Customer service, Cashiering, Inventory management, Retail operations, Communication
Orlando, Florida, United States · On-site
$65/hr–$85/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Pharmacy management, Patient counseling, Immunization, Team leadership, Inventory management
Plantation, Florida, United States · On-site
$17/hr–$27/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Pharmacy operations, Prescription fulfillment, Customer service, Active listening, Mathematical reasoning
Gainesville, Florida, United States · On-site
$20/hr–$23/hr
You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a…
Skills: Pharmacy operations, Prescription fulfillment, Patient care, Immunization administration, Customer service
Stuart, Florida, United States · On-site
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, ev…
Skills: Medical terminology, Scheduling, Customer service, Data entry, Communication skills
Delray Beach, Florida, United States · On-site
$37/hr–$51/hr
Community: Abbey Delray South Address: 1717 Homewood BlvdDelray Beach, Florida 33445 Pay Range $37.34-$51.35+ Hourly Live your purpose. Grow your career. Thrive through teamwork. Create meaningful, personalized experienc…
Skills: Registered Nurse, Care Planning, Resident Assessment, Clinical Supervision, Performance Management
Florida, United States · On-site
JOB SUMMARY: Field-based Technician role fulfills all aspects regarding installation and service of dental technology in the practitioner's office with the focus on "excellence" in customer service. ESSENTIAL RESPONSIBIL…
Skills: Customer service, Equipment installation, Equipment repair, Troubleshooting, Computer networking
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The Billing Specialist manages coding, quality assurance, and compliance with Federal Payer guidelines while coordinating with physicians. Responsibilities include submitting clean claims, managing denials and appeals, and performing payment posting and accounts receivable follow-up.
Candidates must have a high school diploma or GED and at least two years of experience in physician office billing and collections. Proficiency in medical terminology, coding systems (CPT-4, ICD-10, HCPCS), and computer practice management systems is required.
Job DetailsJob Location: Clearwater, FL 33763Position Type: Full TimeEducation Level: High SchoolTravel Percentage: Remote with travel for training/meetingsJob Shift: DayJob Category: Central Business Office- Hybrid/RemotePosition Summary: The Billing Specialist is responsible for understanding all aspects of coding, quality assurance and compliance with Federal Payer documentation guidelines. This role works closely with departmental management and coordinates with Physicians. Posting, clean claim submission to clearing house, denials, appeals, follow-up on claims until payment received.
Reports to: Billing Specialist reports directly to the Billing Manager
Flexibility: While this job description is meant to provide an overview and specific responsibilities of the Billing Specialist, ENTA Management reserves the right to make changes, adjustments, and revisions, as needed, to this document and will coordinate such modifications with ENTA’s Practice Administrator and Physicians. While the normal work week is 40 hours, you may be subject to overtime (not to exceed 50 hours per week).
Billing Accounts Receivable Specialist –
Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal
Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer contract.
Review and update patient registration information (demographic and insurance) as needed
Applies appropriate discounts/courtesies based on department policy
Prepares delinquent accounts for transfer to self-pay collection unit according to the follow-up workflow
Prints and mails claim forms and statements
Retrieves supporting documents (medical records, authorizations, etc.) as needed and submits to payers
Appeals reflected claims and claims with low reimbursement
Confirm credit balances and gathers necessary documentation for processing refund.
Identifies insurance issues of primary vs. secondary insurance, coordination of benefits eligibility and any other issues causing non-payment of claims
Monitor invoice activity until problem is resolved
Process daily mail, edits reports, file or pull EOB batches
Identifies and informs Manager of issues or problems associated with non-payment of claims
Contacts payors or patients as appropriate for corrective action to resolve the issues and receive payment of the claims
Billing and Payment Posting Specialist –
Maintaining and clearing of exceptions in the Encoda Payment Manager dashboard daily.
Daily review of outstanding checks, calling payers to identify delays and/or processing a replacement check.
Reviewing and completing the weekly statement reports to ensure any monies are moved to avoid unnecessary statement delivery to patients.
Research and answers billing and documentation questions or problems, submitted by staff, billing staff, and others to ensure compliance with specific payer regulations.
Posting of all payments and rejections (manual & electronic) in Prime Suite.
Processing and Handling of all patient and insurance refunds.
Maintain and movement of payments from credit to line-item charges, ensuring patient credit balance accuracy.
Completes daily and month-end closing.
Updates patient demographics for insurance related issues in order to accurately process claims.
Investigating and updating any returned patient statements via mail
Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines.
Serves as departmental expert on coding questions.
Holds bills and seeks corrective action for services not meeting documentation requirements in accordance with polices.
Research and answers billing and documentation questions or problems, submitted by staff, billing staff, and others to ensure compliance with specific payer regulations.
Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payor or contract.
Maintains a system of billing accuracy through encounter verification i.e., clinic schedules, encounter forms, I/P Consults, ER Consults, Surgeries, medical records.
Review and resolve Encoda charge review edits daily.
Maintain and movement of payments from credit to line-item charges, ensuring patient credit balance accuracy.
Completes daily and month-end closing.
Retrieve and upload sleep studies and operative notes from BayCare system.
Billing Float –
This position will cover the duties of the Accounts Receivable Specialist, Payment Posting Specialist and Charge Entry Coding Specialist, as detailed above, as needed.
Average percent of time during regular shift devote to:
Walking, Squatting, Sitting, Bending, Reaching: 75%
Standing: 25%
Lifting Requirements: 20-40 lbs.
Frequency of Lifting: 0-25% of the time
Ability to grasp with both hands; pinch with thumb or forefinger; turn with hand/arm; reach for (above shoulder height).
Ability to type 60 wpm.
Ability to operate multi-line telephone system, computer keyboard and ten-key adding machine.
Visual, Hearing, and Mental demands: Vision adequate to perform essential functions such as read telephone displays/computer terminals for long periods of time, correctable to 20/20. Hearing is adequate to perform essential functions such as answering the telephone. Mental capacity adequate to perform essential functions such as quickly and accurately entering patient demographics and scanning documents while checking in multiple patients. Tact to deal with unfriendly individuals regarding various situations, and adequately handle stress.
Working Conditions: This position has an option to work from home after training has been completed. Performance, reliability, and overall fit for the role will be assessed prior to an employee being given permission to work remotely and will continue to be assessed once the employee has gone remote. Required to exhibit a positive attitude and a professional appearance and show detail and accuracy. Required to exhibit quality performance of the essential job functions to help the practice run effectively and efficiently.
High School education or GED equivalent.
Minimum of 2 years’ experience in physician office performing patient billing and collections required.
Previous computer skills on Physician Practice Management System and/or windows application with mouse.
Ability to communicate effectively with patients, physicians, and staff in a courteous manner.
Medical Terminology including CPT-4 procedure coding. ICD-10 diagnostic coding, and HCPCS coding preferred.
The ability to attend work on a regular basis
The ability to adhere to safety rules and other reasonable regulations pertaining to the job
The ability to refrain from negativity or excessive irritability
The ability to work in cooperation with other workers
entandallergy.com | 1-855-ENTA-DOC
The nation's largest Ear, Nose, Throat, Allergy & Audiology practice with 450+ clinicians across NY, NJ, PA, and TX.
Offices: 660 White Plains Road, Suite 400, Tarrytown, NY 10591, US
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