Job Title: Pathology Billing Specialist

Location: Brandon 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. Pathology Billing experience needed.

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. Billing and coding certification, knowledgeable in computer programs, EMR systems, pathology billing experience preferred, and clinical and billing terminology preferred, Pathology Billing needed.

Job Type: Full-time

Pay: $17.00 - $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
All vendors, customers and patients are temperature checked, symptom screened, masks and social distancing required, and work stations disinfected throughout the day.

Ability to commute/relocate:

• Brandon, FL 33511: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 1 year (Required)
• Medical Billing & Coding: 1 year (Required)
• Insurance A/R: 1 year (Preferred)

Work Location: One location

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