
Medical Billing & Collections Specialist (INTERN)
- Lakeland, FL
- Training
- Full-time
- Contacts payer, patient or store as appropriate
- Documents all collections activity in IMBS patient collections notes and on the collections daily work sheet and sends completed sheet to Collections Supervisor
- Documents work performed/action taken on AR Aging Report and/or Over/Under Report
- Process all Payer appeal requests within the time frame required by the Payer
- Processes all approved adjustments
- Processes doctor and insurance changes
- Processes Financial Assistance applications
- Processes Hospice/Nursing Home Delivery Tickets
- Processes rejections and denials to determine if the claim needs to be refiled or submitted for an appeal with the payer
- Reviews amounts on the over/under report
- Reviews patient information in IMBS to determine why the claim is unpaid, if an adjustment is valid and whether additional approval is required
- Sorts and logs incoming correspondence
- Performs other duties as assigned
- Background investigation (company-wide)
- Drug screen (when applicable for the position)
- Valid driver’s license in state of residence with a clean driving record (when applicable for the position)
- High school diploma or GED equivalent
- One to three years of related prior work experience in a team-oriented environment
- Experience in medical field and administrative record management
- Strong customer service background
- Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner
- Helpful, knowledgeable and polite while maintaining a positive attitude
- Interpret a variety of instructions in a variety of communication mediums
- Knowledge of Durable Medical Equipment (DME) or Home Medical Equipment (HME)
- Knowledge of insurance policies and requirements
- Knowledge of medical billing practices and of billing reimbursement
- Maintain confidentiality and practice discretion and caution when handling sensitive information
- Multi-task along with attention to detail
- Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication and division
- Self-motivation, organized, time-management and deductive problem solving skills
- Work independently and as part of a team
- Requires sitting, walking, standing, talking or listening
- Requires close vision to small print on computer and or paperwork
- Email transmission and communication
- High data entry speed on a 10-key computer and calculator is desired
- Internet navigation and research
- Microsoft applications including but not limited to Word, Excel, etc.
- Office equipment; fax machine, copier, printer, phone and computer
- Generous paid time Off and paid holidays
- Overtime pay for non-exempt hourly positions based on business needs
- Employee recognition program
- Bonus and incentive opportunities
- Mileage reimbursement (when applicable for the position)
- Telephone reimbursement (when applicable for the position)
- EAP
- 401k
- Medical, Prescription, Dental and Vision
- HSA and FSA/Dependent Care FSA
- Life Insurance, Disability, Accidental death, Identity protection and Legal services