Pathology Billing Specialist - Lutz

Job Title: Billing Specialist

Location: Corporate Office

Travel Required: No

Position Type: Full Time

Reports To: Billing Manager and Practice Manager

Job Description: Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Billing experience preferred.

Role and Responsibilities

Administrative

• Prepares and submits clean claims to various insurance companies either electronically or by paper.


• Answers questions from patients, clerical staff and insurance companies.


• Identifies and resolves patient billing questions and complaints


• Prepares, reviews and sends patient statements


• Evaluates patient’s financial status and establishes budget payment plans; follows and reports status of delinquent accounts


• Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency


• Research and appeal denied claims


• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.


• Works patient and insurance AR


• Helps submit and maintain Provider insurance credentialing

Professional

• Demonstrates initiative and responsibility


• Able to perform repetitive tasks without loss of focus


• Adheres to ethical principles


• Time Management


• Prioritizes and can perform multiple tasks


• Adapts to change


• Attends all team meetings and mandatory in-service training/education


• Basic computer skills


• Type minimum 45wpm

Communication

• Recognizes and respects cultural diversity


• Adapts communication to individual’s ability to understand


• Uses professional, pleasant telephone etiquette


• Uses medical terminology appropriately


• Treats all patients and co-workers with compassion, e-mpathy, and mutual respect


• Projects a professional manner and image


• Consistent attendance and punctuality


• Adherence to time clock procedures

Legal

• Maintains confidentiality and documents accurately


• Uses appropriate guidelines for releasing patient information


• Practices within the scope of education, training and personal capabilities


• Conducts self in accordance with Suncoast’s employee manual.


• Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA

Core Competencies

• Efficiency


• Attention to details


• Organized


• Punctual


• Takes initiative, proactive


• Team Player


• Honesty/Integrity


• Flexible


• Calm under pressure


• “A Doer”, persistence


• Problem solver, Strategic thinking, Creativity


• Analytical skills


• Clear and concise communication/Listening skills


• Quick Learner, Intelligence


• Follow through on commitments


• Enthusiastic, Friendly, Positive attitude


• Openness to advice and constructive criticism


• Strong work ethic

Physical Demands

• Prolonged sitting/walking


• Repetitive motion of head, neck, hands, wrists and arms


• Use of telephone, headset and office equipment such as computers, faxes, scanner copiers


• Multitask position


• Lifting up to 25lbs.


• Extensive reading and writing/typing

Qualifications and Education Requirements:

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.