Patient Accounts - Billing Specialist

Description

Lake Butler Hospital is a critical access hospital in North Florida providing 24-hour emergency services, inpatient hospitalization, swing bed program, rehabilitation services, outpatient laboratory, and outpatient radiology (X-ray, ultrasound, and CT Scan) services to Union County and the surrounding counties. We are devoted to providing all members of our community with premier-quality health care in a compassionate and inviting environment.

We are seeking a knowledgeable Billing Specialist to join our team!

For full-time employees, we offer medical benefits, paid time off, 401k after one year of service, discounts at Willow Cafe and more!

Job Summary:

Process all billing claims via billing software or paper claims as needed. Follows up on all edits, denials to ensure all claims are coded and billed accurately in order for facility to receive reimbursement.

Duties and Responsibilities:

This position is responsible for preparing, submitting, and managing medical claims using billing software such as TruBridge, including electronic, paper, and secondary claims. The role involves verifying insurance coverage and eligibility, ensuring accurate coding based on patient diagnoses and treatments, and maintaining complete and accurate patient account information. The employee will monitor claim status, investigate and appeal denied or rejected claims, resolve discrepancies, process refunds, and pursue collections on delinquent accounts to ensure timely reimbursement. Regular communication with patients, providers, and insurance payers is required, along with maintaining strict compliance with HIPAA, information security standards, and all state and federal billing and collections regulations.