Billing Specialist (Substance Abuse Billing)

Employment Status: Full-Time

FLSA Status: Non-Exempt

Location: Fort Lauderdale, FL 33309

Work Location: On Site

Job Summary:

The Billing Specialist will have a strong understanding of medical terminology, procedures, diagnoses, and equipment, as well as the ability to translate this knowledge into universal medical alphanumeric codes. This position will play a key role in our Revenue Cycle Management and requires excellent communication and follow-up skills to ensure timely and accurate reimbursement for medical services.

 Duties and Responsibilities:

• Reviews patient medical records and translates services, diagnoses, and equipment into coded form using ICD, CPT, and HCPCS code sets.
• Prepares and submits claims to various insurance companies, ensuring that each claim accurately reflects the services provided.
• Follows up on unpaid claims within the standard billing cycle, identifying issues, resolving discrepancies, and ensuring maximum reimbursement.
• Maintains strict confidentiality as required by HIPAA and company guidelines, protecting all patient information and medical records.
• Communicate with health care providers, patients, and insurance companies to address inquiries and resolve any billing and coding issues.
• Stays current with changes in medical coding and billing practices, regulations, and compliance through ongoing education.
• Ensures the accuracy, completeness and consistency of coding and implement quality assurance procedures.
• All other duties as assigned.

 Required Skills/Abilities:

• Proficiency in using healthcare billing software and Electronic Health Record (EHR) systems.
• Familiarity with various insurance plans and a thorough understanding of the insurance claims process.
• Excellent attention to detail, organizational skills and ability to multitask
• Strong communication and problem-solving skills
• Strong knowledge of medical terminology, anatomy and physiology
• Knowledge of HIPAA regulations and compliance standards

 ...

Education and Experience:

• High school diploma or equivalent. Associate’s or Bachelor's degree in health information technology, medical billing or a related field preferred.
• Certification from AAPC (CPC) or AHIMA (CCS, RHIT,or RHIA) preferred.
• 1 year of prior experience in medical billing and coding, preferably in a health care or hospital setting preferred

Benefits:

·       Health Insurance

·       Vision Insurance

·       Dental Insurance

·       401(k) plan with matching contributions