Medical Biller

Project Health Inc.

We are currently seeking a full-time Medical Billing Specialist in Sumterville, Florida. We are a non-profit Federally Qualified Health Center located in Central Florida. Great Benefits offered to include health insurance(medical, dental, vision), FREE medical co-pays, paid time off, eight paid holidays, 401K matching, company paid life insurance and short term disability, long term disability, flexible spending accounts, loan forgiveness and much more. This is a Remote position.

Primary responsibilities include but are not limited to:

  • Manages the timely, accurate and compliant third party billing process consistent with practice management system billing, EDI, payment entry, charge and transaction management and end of day procedures
  • Ensures that there is a timely review of encounter coding for accuracy and compliance prior to the issuance of a third party claim
  • Manages the timely third party EOB posting and proper disposition of remaining balances, daily
  • Work assigned A/R buckets daily utilizing critical thinking and sound judgment to resolve billing issues
  • Keep Billing Manager informed weekly of accounts worked and progress made
  • Issue and be able to explain patient statements as requested
  • Identifies write-offs, refunds and adjustments to Billing Manager
  • Assists patients and staff with billing and insurance questions
  • Check validity of transactions on accounts and resolves any discrepancies
  • Performs other duties as assigned by the Billing Manager

Qualifications:

  • Experience working in a medical billing environment, preferably in a FQHC Community Health Center
  • Experience with e-clinical preferred
  • Demonstrated knowledge of medical third party claims billing procedures, both manual and electronic in a FQHC environment
  • Strong customer service orientation and prior customer service experience
  • Knowledge of current CPT and ICD-10 coding, modifiers and HCPCS codes REQUIRED
  • Understands revenue cycle of a medical practice

To apply please email your resume to the reply link or fax to 855-832-3504, attention Human Resources. We are an equal opportunity employer and drug-free workplace. COVID Vaccine Mandate Option Required.

To apply for this job email your details to hr@telmedical.com