Pathology Billing Specialist - Lutz at Suncoast Skin Solutions

<p id="isPasted">Job Title: Billing Specialist</p> <p>Location: Corporate Office</p> <p>Travel Required: No</p> <p>Position Type: Full Time</p> <p>Reports To: Billing Manager and Practice Manager</p> <p>Job Description: Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Billing experience preferred.</p> <p>Role and Responsibilities</p> <p><strong>Administrative</strong></p> <ul> <li>Prepares and submits clean claims to various insurance companies either electronically or by paper.</li> <li>Answers questions from patients, clerical staff and insurance companies.</li> <li>Identifies and resolves patient billing questions and complaints</li> <li>Prepares, reviews and sends patient statements</li> <li>Evaluates patient’s financial status and establishes budget payment plans; follows and reports status of delinquent accounts</li> <li>Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency</li> <li>Research and appeal denied claims</li> <li>Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.</li> <li>Works patient and insurance AR</li> <li>Helps submit and maintain Provider insurance credentialing</li> </ul> <p><strong>Professional</strong></p> <ul> <li>Demonstrates initiative and responsibility</li> <li>Able to perform repetitive tasks without loss of focus</li> <li>Adheres to ethical principles</li> <li>Time Management</li> <li>Prioritizes and can perform multiple tasks</li> <li>Adapts to change</li> <li>Attends all team meetings and mandatory in-service training/education</li> <li>Basic computer skills</li> <li>Type minimum 45wpm</li> </ul> <p><strong>Communication</strong></p> <ul> <li>Recognizes and respects cultural diversity</li> <li>Adapts communication to individual’s ability to understand</li> <li>Uses professional, pleasant telephone etiquette</li> <li>Uses medical terminology appropriately</li> <li>Treats all patients and co-workers with compassion, e-mpathy, and mutual respect</li> <li>Projects a professional manner and image</li> <li>Consistent attendance and punctuality</li> <li>Adherence to time clock procedures</li> </ul> <p><strong>Legal</strong></p> <ul> <li>Maintains confidentiality and documents accurately</li> <li>Uses appropriate guidelines for releasing patient information</li> <li>Practices within the scope of education, training and personal capabilities</li> <li>Conducts self in accordance with Suncoast’s employee manual.</li> <li>Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA</li> </ul> <p><strong>Core Competencies</strong></p> <ul> <li>Efficiency</li> <li>Attention to details</li> <li>Organized</li> <li>Punctual</li> <li>Takes initiative, proactive</li> <li>Team Player</li> <li>Honesty/Integrity</li> <li>Flexible</li> <li>Calm under pressure</li> <li>“A Doer”, persistence</li> <li>Problem solver, Strategic thinking, Creativity</li> <li>Analytical skills</li> <li>Clear and concise communication/Listening skills</li> <li>Quick Learner, Intelligence</li> <li>Follow through on commitments</li> <li>Enthusiastic, Friendly, Positive attitude</li> <li>Openness to advice and constructive criticism</li> <li>Strong work ethic</li> </ul> <p><strong>Physical Demands</strong></p> <ul> <li>Prolonged sitting/walking</li> <li>Repetitive motion of head, neck, hands, wrists and arms</li> <li>Use of telephone, headset and office equipment such as computers, faxes, scanner copiers</li> <li>Multitask position</li> <li>Lifting up to 25lbs.</li> <li>Extensive reading and writing/typing</li> </ul> <p>Qualifications and Education Requirements:</p> <p>High school diploma, AA degree or higher. Accounts Receivable and Billing experience preferred. Billing and coding certification a plus, knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred. Pathology and Dermatology experience a plus.&nbsp;</p> <p>&nbsp;</p>