Medical Billing Specialist

posted:
Location
Melbourne, Florida
Industry
Accounting & Auditing (Business and Financial Operations Occupations)
Job Type
Temp to Perm
Working Hours
8:00 AM - 5:00 PM
Salary
US$ 35,000.00 - US$ 45,000.00 per hour
Ref. Number
S_54779
Contact
Justin Kolleda, Spherion
Phone
3212550222 x208
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Job Description

Oversee the Inpatient, Residential and Outpatient billing flow through billing systems Linux and Credible.

Responsibilities:
- Import Linux billing into Solace Clearinghouse
- Batch Credible claims into Solace
- Send claims & pull in EOBs to/from various clearinghouses via Solace
- Download electronic deposits into credible and Linux using NetSupport, Visual Studio and Solace based on deposit sheets
- Update & correct insurances in billing systems as needed
- Correct Red X (rejected) services in Credible based on contract, credentialing, inclusivity to other services, check service type, duration and program
- Clean Credible claims in Solace for claim level errors and update based on specific carrier guidelines as needed
- Download EOBs, claims acknowledgements, 999s off ABILITY for Medicare
- Copy EOB PDFs from Solace to in-house storage database
- Work all Medicare / Medicaid denials, and follow up on overdue claims; file appeals when appropriate
- Maintain Medicare financial folders
- Prepare Medicare and Medicaid files for audit / records requests
- Run end of month balance reports for in-house accounting department
- Prepare Medicare bad debt report and utilization report for health council
- Provide insurance training to staff as needed
- EDI / ERA enrollments

Working hours: 8:00 AM - 5:00 PM

Skills:
- Highly organized
- Experience with various billing systems
- Experience with Medicare/Medicaid

Education:
High School

Experience:
4-7 years

Qualifications:
- HS Diploma or equivalent
- 3-5 years of medical billing and insurance experience


Apply online at www.spherion.com/apply and/or send resume to justinkolleda@spherion.com for review.

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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