Patient Account Representative - Medical Billing
Overview: North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Billing/Patient Accounts Specialist to join our dynamic team. This role is essential in ensuring accurate billing, timely reimbursement, and excellent patient financial experiences. The ideal candidate brings experience in healthcare billing and collections, along with a commitment to delivering exceptional service and maintaining compliance.
Key Responsibilities: - Review and prepare patient accounts for billing, ensuring accuracy and completeness
- Ensure timely receipt of claim submission and payments; processing payments accordingly and reconciling all necessary data.
- Follow up on unpaid or denied claims with insurance companies and patients and assist in the resolution of outstanding payments from past due accounts.
- Investigate and resolve billing discrepancies and provide documentation for appeals
- Communicate with patients regarding balances, billing questions, and payment plans
- Collaborate with the revenue cycle team to meet department goals and improve processes
- Generate and analyze diverse reports and work lists in the identification and resolution of general patient account issues.
- Communicate with insurance companies, patients, and internal departments to resolve billing issues.
- Maintain up-to-date knowledge of insurance guidelines and billing regulations.
- Assist patients with billing inquiries and payment plans.
- Insurance verification and authorization
- Maintain compliance with HIPAA and other healthcare regulations
Qualifications:
- High school diploma or equivalent; associate degree or certification in medical billing/coding preferred.
- 1–3 years of experience in medical billing, patient accounts, or a related field.
- Knowledge of ICD-10, CPT, and HCPCS coding systems.
- Solid understanding of EOBs, insurance claims processing, and medical billing codes (ICD-10, CPT)
- Strong attention to detail and organizational skills
- Excellent verbal and written communication skills
- Familiarity with EHR and billing software (e.g., Epic, Cerner, Meditech).
- Proficiency with Microsoft Office (especially Word and Excel)
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