Nov 28, 2022
Full time
DOH Medical Billing Specialist - Knowledge of ICD-10 required, experience preferred. Knowledge of Medicaid and MMA Insurance highly preferred.
BILLING: MUST HAVE KNOWLEDGE/EXPEREINCE WITH ICD-10 CODES • For all counties as appropriate, assists with the accounting, collection and billing functions including: recording services; billing for services; monitoring accounts receivable/billing reports; processing of payments and denials; and processing client statements. • Assists with auditing, analysis and review of services for verification of all insurance information; making necessary determination as to the correct insurance and processes all claims accordingly; researching claims for Medicaid, Medicare and other third party insurance; contacting insurance carriers when necessary to re-evaluate claims for payment. • Maintains a working knowledge of Medicaid, Medicare and various insurance billing policies, which includes, but is not limited to: service limitations billable under CBR/managed care and service limitations/billable by billing type. • Assists with updating HMS as appropriate in areas related to billing with current fees, provider numbers, NPI, taxonomy and license numbers, etc.
ACCOUNTS PAYABLE: • HMS and FLMMIS will be utilized for auditing purposes. • Responsible for scanning, searching and retrieving vouchers in the electronic scanning/storage system developed for accounting records. • Runs and prepares daily reports for DOH Volusia Finance & Accounting department. Prepares analysis of reports from various methods of data collection and makes recommendations to others as necessary.