Billing Specialist Focus In A/R

We are looking for a new member for our billing department! Southern Vitreoretinal Associates is a retina specialty practice with six locations throughout North Florida and South Georgia. This is a full-time position, 40 hours per week. The schedule is Monday through Friday, 8am-5pm,with rotating closing shifts. The ideal candidate has experience with Accounts Receivables within the billing department of a healthcare setting and is detail oriented.

JOB SUMMARY: Southern Vitreoretinal Associates (SVA) Billing Specialist, under direction of the Assistant Business Office Manager, will work outstanding insurance balances for services rendered by SVA, ensuring timely reimbursement. This position is responsible for researching, analyzing all open claims and any unpaid insurance balances, and resolving outstanding issues in a timely manner. Responsibilities include, but are not limited to:

1. Works accounts as assigned, to resolve issues with outstanding encounters and claims in a timely manner, to ensure SVA receives the reimbursement due for services rendered.

2. Works denials, zero pays, and any correspondence received with an expected 40 hour (5 business days) turn around, reviewing and taking corrective action on denials identified, to obtain reimbursement.

3. Works clearinghouse rejections, correcting/resolving issues and resubmitting payment for reimbursement.

4. Appeals incorrectly paid or denied claims in a timely manner with insurance utilizing payer portals and/or telephone contact with the payer for resolution of issues.

5. Follows up on problem EOBs and “zero” pays that need to be resolved, working with Payment Posting Specialist to ensure correct posting of payments/adjustments.

6. Recognize trends within Insurance AR, keeping Business Office Manager informed and assists in seeking resolution of issues identified.

7. Use and understand the user defined dashboards in NextGen for the work being performed. Maintain productivity goals set by the SVA management.

8. Research credit balances identified on accounts being worked correcting issues creating the credit if possible or providing documentation to the Credit Coordinator, for further research or refund issue.

9. Enters appropriate account notes into NextGen system, documenting actions taken, with the expected end results.

1. Ability and willingness to cross train to assist with other billing functions when needed.

Qualifications:

1. High School diploma or equivalent.

2. Well organized and detail oriented.

3. Working knowledge/experience with medical billing software.

4. Understanding of private insurance rules and regulations.

Job Type: Full-time

Pay: $17.00 - $19.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Work setting:

• Private practice

Ability to Relocate:

• Tallahassee, FL 32308: Relocate before starting work (Required)

Work Location: In person