Billing Specialist - Winter Springs, FL
Billing representative job in Winter Springs, FL
Full-Time Billing Specialist - Winter Springs, FL
American Premier Services is seeking a dynamic and talented Full-Time Billing Specialist to join our team! Our client-focused firm has a strong culture rooted in trust, integrity, professionalism and excellence. We are committed to providing clients with innovative erosion control, land development, and street sweeping solutions that improve lives. You'll find that our team consists of talented, dedicated people who share our enthusiasm for the outdoors and our sense of pride!
Job Responsibilities
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Review contracts to determine appropriate coding and process invoices
2. Process and verify new orders, compare to quotes and prepare input and clarify any discrepancies with sales operations department and customer
3. Provide support to the team and assist with the collections process
4. Assist with monthly closing procedures, ensuring all approved and accurate sales order are invoiced by the last day of the month (may require additional hours) and preparation of year-end audits
5. Work closely with other departments internally; build and maintain good customer relationships
6. Initiate and help with process improvements
7. Maintains the confidentiality of all financial matters exposed to during the course of performing job duties
8. Required to create a relationship with each client's AP department
9. Updating invoices to client platforms
10. Other duties and special projects may be assigned as needed
Requirements Requirements
B.S. or B.A. degree in accounting or related field preferred but not required
2-3 years of accounting experience preferred but not required
Intermediate-Advance in MS Office (Word, Excel, Outlook)
Customer service skills (oral and written) in billing matters. Independent discretion and judgment.
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to reach with hands and arms and climb or balance. Specific vision abilities required by this job include close vision.
Salary Description $38,000 - $45,000
Activity Project Manager - EMS Billing Manager
Billing representative job in DeLand, FL
Major Functions The County of Volusia is seeking an Activity Project Manager - Working Title: EMS Billing Manager for Treasury and Billing Division. This position will be highly responsible work administering the operations of the county's emergency medical services billing office, ensuring timely and accurate billing for the county and contracted municipal agencies.
* Expected hiring range for a well-qualified applicant is $90,000-$110,000
Pay range includes certification pay if eligible.
Illustrative Duties
(Note: These are intended only as illustrations of the various type of work performed. The omission of specific duties does not exclude them from the position.)
* Manage and lead a team of professional coders, collections representatives, and accounting staff.
* Ensure compliance with Health Insurance Portability and Accountability Act (HIPAA), federal and state regulations, (as it relates to ambulance billing) through the supervision of staff and consistent audit/review of their work product.
* Serve as the primary billing contact for County Emergency Medical Services (EMS), County Fire, and contracted municipal transport agencies.
* Implement best practices in billing and collection in order to maximize the revenue cycle, while maintaining industry compliance standards.
* Monitor team performance, provide feedback and conduct performance reviews.
* May be assigned to other county locations based upon operational needs.
* Attends work on a regular and consistent basis.
* Must adhere to Federal, State, County and Local ordinances.
* Responds to emergency situations.
* Performs other duties as assigned.
Minimum Requirements
Graduation from high school or possession of GED and nine (9) years of progressively responsible ambulance billing and/or ambulance billing auditing experience and experience in managing a medium to large sized diverse team of individuals.
OR
Bachelor's degree in Accounting, Business Administration, Public Administration, or related field and five (5) years of progressively responsible experience.
A comparable amount of education, training, or experience may be substituted for the minimum experience.
Must not be excluded from participating as health care provider in insurance programs including, but not limited to, Medicare and Medicaid prior to and during employment at the County of Volusia.
Must possess a valid driver's license at the time of hire.
Must obtain a valid Florida driver's license within 30 days of hire and maintain thereafter.
The preferred candidate will possess a Certified Ambulance Coder (CAC) and a Certified Ambulance Compliance Officer (CACO) certification.
Knowledge, Skills & Abilities
* Knowledge of Health Insurance Portability and Accountability Act (HIPAA) privacy rules and standards.
* Knowledge of ambulance transport documentation.
* Knowledge of CPT and ICD 10 codes.
* Knowledge of Medicare and Medicaid rules and regulations.
* Knowledge of medical and ambulance coding and compliance.
* Knowledge of medical billing software.
* Knowledge of medical terminology.
* Knowledge of terms, limitations, and responsibilities of collecting outstanding accounts under the Fair Debt Collection Practices Act.
* Knowledge of services covered under Medicare, Medicaid, and other third-party claimants.
* Knowledge of the principles and practices of public administration, including EMS program operations, governmental budgeting, revenue and billing oversight, fiscal controls, and compliance.
* Knowledge of research techniques and availability of current information.
* Ability to exercise judgment and discretion in establishing, applying, and interpreting policies and procedures.
* Ability to establish and maintain effective working relationships with associates, subordinates, public officials, other governmental agencies, and the general public.
* Ability to supervise subordinate staff and assign work.
* Ability to prepare and analyze budgetary tools and documents.
* Ability to express ideas clearly and concisely, orally and in writing to groups and individuals.
* Ability to respond to emergency situations.
* Ability to work under stressful conditions.
* Must be able to relocate to other county locations based upon operational needs.
ADA REQUIREMENTS
Mental Demands:Ability to read and comprehend professional manuals, legal documents, ordinances, statutes; instructions, reports, abstracts, financial reports, letters, and summaries. Ability to write reports, evaluations, summaries, letters, financial reports, procedures, and policies. Ability to perform advanced mathematical functions. Ability to speak publicly and extemporaneously; conversant in policies, techniques and procedures of discipline. Ability to analyze data and develop conclusions. Ability to identify and resolve problems.
Physical Demands: Ability to speak and hear. Visual acuity (peripheral vision, depth perception) necessary to operate a motorized vehicle. Finger dexterity. Ability to bend, stoop, and reach. Ability to push, pull and/or carry 15 pounds.
Environmental Demands: Primarily inside work.
Volusia County is a drug free workplace and an Equal Opportunity Employer committed to a diverse workforce. Veterans' preference in accordance with federal, state, and local laws.
Account Representative - Uncapped Commission
Billing representative job in Daytona Beach, FL
Country USA State Florida City Daytona Beach Descriptions & requirements About the role: The Account Representative role at TQL is an opportunity to build a career with a logistics industry leader that offers an award-winning culture and high earning potential with uncapped commission. More than just an entry level sales role, you will be responsible for supporting and working with an established sales team to identify areas of opportunity with their customers to drive revenue. No experience necessary; you will start your career in an accelerated training program to learn the logistics industry. Once training is complete, you focus on growing new and existing business by presenting TQL customers with our transportation services and handling freight issues 24/7/365.
What's in it for you:
* $40,000 minimum annual salary
* Uncapped commission opportunity
* Want to know what the top 20% earn? Ask your recruiter
Who we're looking for:
* You compete daily in a fast-paced, high-energy environment
* You're self-motivated, set ambitious goals and work relentlessly to achieve them
* You're coachable, but also independent and assertive in solving problems
* You're eager to develop complex logistics solutions while delivering great customer service
* College degree preferred, but not required
* Military veterans encouraged to apply
What you'll do:
* Communicate with the sales team and customers as the subject matter expert to build and maintain relationships
* Manage projects from start to finish while overseeing daily shipments and resolve issues to ensure pickups and deliveries are on time
* Work with the sales team to provide and negotiate competitive pricing
* Input, update and manage shipment information in our state-of-the-art systems
* Collaborate with the support team to guarantee each shipment is serviced properly
* Assist with billing and accounting responsibilities as needed
What you need:
* Elite work ethic, 100% in-office, expected to go above and beyond
* Extreme sense of urgency to efficiently juggle dynamic operations
* Strong communication skills with ability to handle conflict
* Solution-focused mindset and exceptional customer service
* Ability to work with the latest technologies
Why TQL:
* Certified Great Place to Work with 800+ lifetime workplace award wins
* Outstanding career growth potential with a structured leadership track
* Comprehensive benefits package
* Health, dental and vision coverage
* 401(k) with company match
* Perks including employee discounts, financial wellness planning, tuition reimbursement and more
Where you'll be: 260 Jimmy Ann Drive, Daytona Beach, Florida 32114
Employment visa sponsorship is unavailable for this position. Applicants requiring employment visa sponsorship now or in the future (e.g., F-1 STEM OPT, H-1B, TN, J1 etc.) will not be considered.
About Us
Total Quality Logistics (TQL) is one of the largest freight brokerage firms in the nation. TQL connects customers with truckload freight that needs to be moved with quality carriers who have the capacity to move it.
As a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs. At TQL, the opportunities are endless which means that there is room for career advancement and the ability to write your own paycheck.
What's your worth? Our open and transparent communication from management creates a successful work environment and custom career path for our employees. TQL is an industry-leader in the logistics industry with unlimited potential. Be a part of something big.
Total Quality Logistics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, genetic information, disability or protected veteran status.
If you are unable to apply online due to a disability, contact recruiting at ******************
*
Billing & Collections Commission Specialist
Billing representative job in Lake Mary, FL
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
The Billing & Collections Commission Coordinator is responsible for managing and resolving commission-related discrepancies, processing financial adjustments, and maintaining accurate records of agent debit balances and commission payments. This role requires strong analytical skills, attention to detail, and effective communication with internal departments and external agencies.
JOB DESCRIPTION:
Shift: 8 AM - 4:15 PM ET
Key Responsibilities:
Manually transcribe data into spreadsheets due to formatting incompatibility.
Perform itemized reviews to determine if balances increased, decreased, or were resolved through payment or activity.
Classify items as new or old and confirm if balances are over 90 days past due.
Track collection efforts and update spreadsheets throughout the month.
Analyze items requiring additional work or follow-up actions.
Review commission chargebacks for reversing legal commissions.
Submit PME requests to purge or release commissions.
Research policies with commissions owed to CNA.
Respond to escalated inquiries from the Call Center and other business areas.
Contact agencies to obtain updated or corrected bank information for reissuing commission payments.
Address missing or incomplete Direct Bill Commission enrollment forms.
Recruit agencies for paperless/email notification options.
Consolidate producer codes into unified statements.
Update agency address changes and maintain accurate records in Agent Center.
Submit requests for stop payments, reissues, and credit transfers.
Follow up on undeliverable checks and obtain updated mailing addresses.
Required Skills & Competencies:
Proficiency in Microsoft Excel (including formulas, sorting/filtering, and pivot tables).
Analytical Thinking: Ability to interpret financial data and identify discrepancies.
Attention to Detail: High accuracy in manual data entry and reconciliation.
Problem Solving: Skilled in resolving commission issues and handling escalations.
Communication: Clear and professional interaction with agencies and internal departments.
Time Management: Ability to prioritize tasks and meet deadlines in a fast-paced environment.
Customer Service: Strong relationship management and follow-up skills.
Adaptability: Responsive to changing priorities and ad hoc requests.
Collaboration: Works effectively across departments and with external partners.
Education & Qualifications
High school diploma or equivalent required; associate or bachelor's degree in Business, Finance, Accounting, or related field preferred.
2-4 years of experience in billing, collections, commissions processing, or financial operations.
Experience working in insurance, financial services, or a corporate operations environment preferred.
Familiarity with commission structures, agent billing, and reconciliation processes.
#LI-DM1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut,
Illinois
,
Maryland,
Massachusetts
,
New York and Washington,
the national base pay range for this job level is $35,000 to $65,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyMedical Billing Specialist - A/R
Billing representative job in Daytona Beach, FL
Job DescriptionDescription:
The Orthopedic Clinic is a leader in the orthopedic community of East Central Florida. Our team of ten Surgeons, ten Mid-Level Providers and a Physical Therapy team who serve patients at four locations within Volusia and Flagler counties are dedicated to providing compassionate and cutting-edge orthopedic care. The Orthopedic Clinic is a well-respected practice that was established in 1961 and has a rich history of providing exceptional Orthopedic care to the community.
POSITION EXPECTATIONS:
As an A/R Billing Specialist you will monitor, manage and fully work outstanding assigned insurance claims, to include researching and correcting claims, writing appeals, and facilitating submission to our EHR (Athena) for appealing adverse decisions, contacting payers as needed and all other activities that lead to the successful adjudication of eligible claims. Other responsibilities of this position include:
• Responsible for taking action on each non-payment or zero pay claim, including contacting insurance companies as needed to diagnose, correct, and rebill claims
• Responsible for providing any information (medical records, itemized statements, etc.) required by insurance companies to overturn denied claims. Must maintain a system to ensure timely follow-up is completed for each outstanding account.
• Responsible for identifying and documenting insurance payer issues as they arise, communicating issues to impacted team members, providers and/or Manager
• Responsible for identifying and issuing patient and insurance refunds
• Respond to patients requesting assistance with questions relating to account or balance
• Assist Patient Services staff with patient's requesting advanced assistance with their account
• Covers for other billing office employees, as needed
• Adheres to organizational policies and procedures and maintains compliance with governmental regulations
• Maintaining the privacy and security of protected health information and adhering to all HIPAA guidelines/regulations.
• Provides superior customer service in a professional, compassionate and friendly manner
Requirements:
REQUIRED QUALIFICATIONS:
• Minimum of High School Diploma
• Previous medical accounts receivable experience
• Previous customer service experience, preferably in medical/healthcare setting
• Proficiency in the use of Microsoft Office Products, EHR software applications, preferably Athena
Full compensation package to include: competitive salary, medical, dental, vision, STD, LTD. Life insurance, 401k, profit sharing, paid time off, continuing education reimbursement
The Orthopedic Clinic is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, citizenship, religion, national origin, age, sex (including sexual harassment, sexual orientation, and gender identity), disability or handicap, genetic information, citizenship status, veteran, or current or future military status or any other category protected by federal, state, or local law.
The Orthopedic Clinic is a drug free workplace and all offers of employment at The Orthopedic Clinic are contingent upon clear results of a thorough background check.
Billing Coordinator
Billing representative job in Sanford, FL
Job Description
As a Billing Coordinator, you are responsible for ensuring accurate and timely billing processes related to equipment usage and services.
This role involves working closely with various departments to gather billing information, analyze data, and maintain precise records, ensuring data integrity and data refinement across all equipment reporting functions. In addition, critical for success are the abilities to work in a demanding environment while demonstrating self-motivation and focus, produce highly accurate work, make swift decisions, and be a supportive team player.
About Sea Glass Concrete:
Sea Glass Concrete is a rapidly growing construction company committed to excellence and innovation. We offer a supportive and collaborative environment where you can develop your skills, take on challenging projects, and contribute to our success.
Key Responsibilities:
Collaborate with multiple departments to gather, verify, and analyze billing information.
Ensure data integrity and refine equipment reporting functions to maintain precise records.
Work efficiently in a fast-paced environment, balancing self-motivation with focus.
Manage accurate and timely billing processes for equipment usage and services.
Contribute as a supportive team player to enhance overall department performance.
Qualifications:
Ability to work with large amounts of data, within a defined timeframe, to produce weekly reports for operating companies
Computer proficiency, including Microsoft Office Suite (Excel)
High School Diploma or GED, 1+ years of related experience, or an equivalent combination
Collaborate with internal and external teams to gather accurate billing information.
Assign appropriate coding, making determinations as necessary, and coordinate with internal departments to resolve discrepancies or issues
Patient Representative (Full-Time)
Billing representative job in Orange City, FL
Diana Health is a high-growth network of modern women's health practices. We are on a mission to set a new standard of care that inspires, empowers, and supports women to live healthier, more fulfilling lives. We partner directly with hospitals and align incentives across stakeholders using integrated care teams, smart technology, and a designed care experience that is good for patients and good for providers. The result is an individualized, comprehensive care program that puts women in the driver's seat of their own health and provides them with the information and compassionate care they need to reach their health goals.
We are an interdisciplinary team joined together by our shared commitment to transform women's health. Come join us!
Role Description
We are looking for a Receptionist / Patient Representative driven to create an delightful customer service experience from the moment a client steps through our doors while ensuring the smooth operation of a growing women's health practice. You are warm, welcoming, attentive, outgoing, customer service and detail-oriented, organized, and eager to tackle challenges with empathy and creativity. You are eager to leave a smile on the patient's face after they interact with you and are willing to go above and beyond to create a wonderful experience.
What you'll do
You are the first person our clients see when they walk through the door. You provide a warm, welcoming face of the practice, greeting and supporting clients from our welcome desk. You:
Provide warm and friendly client interactions
Take care of client check in and out, answering questions and disseminating information to appropriate team members as necessary
Provide waiting area tours to new clients, orienting them to our space, making them feel welcome and at home
Ensure paperwork, consents, and insurance information is collected and complete
Managing the client schedule:
You know the schedule front to back / inside and out, and can work through schedule efficiencies based on the flow of the day as well as client and provider needs
You anticipate schedule needs days and weeks in advance
You schedule client appointments in real-time as well as those made through our online platform
Insurance, payment, and billing :
Perform verification of benefit checks with insurance companies
Manage and collect client copays and payment balances
Discuss and set up payment plans with client
Front of the house management:
Work with the team to ensure the office is ready, set up, and prepared for the day
Collaborate on inventory, keeping the office pristine, and other tasks as they arise
Manage phone triage as necessary, coordinating between team members
Qualifications
Customer service and hospitality experience strongly preferred and highly desirable
Bachelor's Degree preferred or High School Diploma/GED w/ 2+ years experience in a related field
Proficiency with Google Suite or Microsoft Office Products
Strong computer skills; preferred familiarity with EMRs
Tendency to organize and create structure in a fast-paced, dynamic environment
Attributes
You love interacting with people, practicing excellent communication and interpersonal skills
You enjoy being the “face” of a clinic or business and representing the brand via an extremely positive, friendly and helpful attitude
You are exceptional at managing many tasks and do not feel overwhelmed by multitasking
You focus on the details and are able to organize and prioritize them along the way
You obsess over growth and process improvement and love learning new tools, processes and systems to aid in continual improvement
You thrive in highly collaborative, fast-paced environments
Benefits
Competitive compensation
Health; dental & vision, with an HSA/FSA option
401(k) with employer match
Paid time off
Paid parental leave
Diana Health Culture
Having a growth mindset and striving for continuous learning and improvement
Positive, can do / how can I help attitude
Empathy for our team and our clients
Taking ownership and driving to results
Being scrappy and resourceful
Auto-ApplyEarly Steps Billing Specialist
Billing representative job in Daytona Beach, FL
Full-time Description
Salary will be between $18.00 per hour and $19.00 per hour (and based on experience in that range)
Full-time 40 hours per week plus insurance and time off benefits
are 8:00 am to 4:00 pm, Monday through Friday.
Easterseals Florida is seeking a dynamic, organized, and detail-oriented individual for the position of Billing Specialist for our North Beaches Early Steps Program. We are seeking an individual with great time management skills and who understands deadline sensitivity. The Billing Specialist is responsible for preparing/submitting billing documents, entering charges, posting payments, and communicating with community providers for problem resolution. This position requires knowledge in billing Medicaid, third-party payers, and an understanding of EOBs.
What we offer:
Live and on demand Professional Development opportunities
Medical, Dental, and Vision Plans
Paid Holidays, Vacation, Sick, and Personal Time
Employee Assistance Program
Several Supplemental Insurance Policies
403B Savings Plan
Easterseals Cares Wellness Program
Work Life Balance
The Opportunity to Make a Difference in the Community and the Organization
A snapshot of what you'll do:
Review billing documents to ensure completion
Enter service data into CMS data and billing system and internal systems to record and bill services
Verify data entry for accuracy and completeness, running reports for erroneous items/codes and missing information, correcting as required
Respond to inquiries regarding entered data (internally and externally)
Meet billing deadlines
Qualifications:
High school diploma and one-year related experience and/or training
Experience with billing systems and ability to quickly learn new software
Experience with billing Medicaid and Third-party payers
Experience working EOBs locating possible appeals for (and reconsiderations of denials)
Proficiency in Microsoft Office applications (Outlook, Word, Excel)
Ability to create, analyze and process Excel-based spreadsheets
High degree of Accuracy, Attention to Detail, and Organizational skills
Sound judgment, high integrity, and ability to maintain strict confidentiality
Solid technical, analytical, and problem-solving skills
Ability to communicate effectively, both orally and in writing
Ability to multitask and have great Time Management Skills
Easterseals Florida has been rated a Great Place to Work (2020 - 2025) by our employees! We provide services daily that are leading the way to 100% equity, inclusion and access for people living with disabilities, families, and communities. Working at Easterseals is more than just a job - it's an opportunity to be part of something bigger! If you want to translate your talent, your passion, and your commitment to help people with disabilities, families and the community, you might be exactly what we are looking for.
Easterseals Florida is a Drug Free Workplace (DFWP) (including medical marijuana).
Easterseals Florida is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.
Easterseals Florida is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact our HR department at **************, *********************, 2010 Crosby Way, Winter Park, FL 32792.
For more information about Easterseals Florida, please visit our website at ************************************
Salary Description $18.00 to $19.00 per hour
Patient Access Specialist
Billing representative job in Maitland, FL
+ Strong accurate data entry skills + Previous work experience in Specialty Pharmacy or Customer Service preferable + Professional level skills in computer use, including but not limited to Microsoft Office, email, web-based applications and key boarding skills
**Responsibilities:**
+ Experience working with people in situations that are high-pressure and time-sensitive (either telephone or face-to-face), and that involve solving problems, making decisions, using excellent judgment and "customer service" skills. This can be obtained through a combination of work experience and post high school education, and need not be obtained in a traditional "customer service" setting
**Experience:**
+ Strong ability to multi-task and strong time management skills
+ Ability to function in a high-volume, fast-paced environment
+ Dependable and strong work ethic
+ Ability to accept and implement feedback and coaching
**Skills:**
- Experience working with databases (CRM preferable) or a tracking system; Salesforce CRM experience
- Experience working in a health care/pharmaceutical industry environment
- Understanding of challenges associated with patients' medical condition
**Education:**
+ High School or bachelor's degree in any field.
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *********************** (********************************** .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Biller
Billing representative job in Winter Park, FL
Fields BMW of Winter Park is seeking a positive team member to join our dynamic dealership to provide a luxury experience to both our internal and external customers! Our goal is to provide the best customer experience and create life-long relationships.
Being family owned and operated, our culture and standards that define our day-to-day beliefs encompass our Fields Five: Safety, Integrity, Courtesy, Presentation, Efficiency. We have a common purpose to ensure transparency and a collaborative environment where team members are encouraged to express their ideas with a strong belief in promoting from within the organization.
Responsibilities
Receive and process paperwork from the F&I Department.
Post vehicle sales.
Prepare checks for payoffs, referrals, refunds, etc.
Costing and finalizing deals to accounting.
Prepare, submit and monitor funding of bank contracts.
Read and interpret legal documents.
Effectively present information to customers or dealership personnel.
Maintain reports and/or logs of daily new and used deal activity.
Work under pressure in a fast paced, high volume atmosphere.
Ability to multitask.
Perform various other accounting responsibilities and business requirements as assigned.
Warranty and Finance product cancellations and remittances
Calculate and log sales commissions
Review and collect out of state sales tax exemption documents
Other duties as needed
Job Qualifications
Previous experience and must have experience CDK experience
Ability to provide quality customer service
Willingness to take initiative
Quality writing and grammar skills
Computer literacy
Ability to perform job responsibilities and meet deadlines easily
Detailed follow up
Professional appearance
Ability to work independently and as a team
Being proactive in your job responsibilities, career, business growth and daily development
What We Offer
Medical, Dental, Vision, Short- and Long-Term Disability, Paid Basic Life Insurance, 401(k) Plan, Personal Time Off, Paid Training, Employee vehicle purchase plans, Health and wellness and Sundays off.
Physical Demands: While performing the duties of this job, the employee is regularly required to sit, and talk or hear; frequently required to use hands to finger, handle or feel; occasionally required to stand, walk, reach with hands and arms; and stoop, kneel, crouch or crawl; must occasionally lift and/or move up to 20 pounds; specific vision abilities required by this job include close vision.
Auto-ApplyBiller
Billing representative job in Winter Park, FL
Fields BMW of Winter Park is seeking a positive team member to join our dynamic dealership to provide a luxury experience to both our internal and external customers! Our goal is to provide the best customer experience and create life-long relationships.
Being family owned and operated, our culture and standards that define our day-to-day beliefs encompass our Fields Five: Safety, Integrity, Courtesy, Presentation, Efficiency. We have a common purpose to ensure transparency and a collaborative environment where team members are encouraged to express their ideas with a strong belief in promoting from within the organization.
Responsibilities
* Receive and process paperwork from the F&I Department.
* Post vehicle sales.
* Prepare checks for payoffs, referrals, refunds, etc.
* Costing and finalizing deals to accounting.
* Prepare, submit and monitor funding of bank contracts.
* Read and interpret legal documents.
* Effectively present information to customers or dealership personnel.
* Maintain reports and/or logs of daily new and used deal activity.
* Work under pressure in a fast paced, high volume atmosphere.
* Ability to multitask.
* Perform various other accounting responsibilities and business requirements as assigned.
* Warranty and Finance product cancellations and remittances
* Calculate and log sales commissions
* Review and collect out of state sales tax exemption documents
* Other duties as needed
Job Qualifications
* Previous experience and must have experience CDK experience
* Ability to provide quality customer service
* Willingness to take initiative
* Quality writing and grammar skills
* Computer literacy
* Ability to perform job responsibilities and meet deadlines easily
* Detailed follow up
* Professional appearance
* Ability to work independently and as a team
* Being proactive in your job responsibilities, career, business growth and daily development
What We Offer
Medical, Dental, Vision, Short- and Long-Term Disability, Paid Basic Life Insurance, 401(k) Plan, Personal Time Off, Paid Training, Employee vehicle purchase plans, Health and wellness and Sundays off.
Physical Demands: While performing the duties of this job, the employee is regularly required to sit, and talk or hear; frequently required to use hands to finger, handle or feel; occasionally required to stand, walk, reach with hands and arms; and stoop, kneel, crouch or crawl; must occasionally lift and/or move up to 20 pounds; specific vision abilities required by this job include close vision.
Patient Access Specialist - Specialty Pharmacy
Billing representative job in Maitland, FL
This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications.
Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality
Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers
Verify patient specific benefits and document specifics including coverage, cost share and access/provider options
Identify any coverage restrictions and details on how to expedite patient access
Document and initiate prior authorization process and claims appeals
Report any reimbursement trends or delays in coverage to management
Act as a liaison for field representatives, health care providers and patients
Requirements
In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage
2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage
2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements
Excellent verbal communication skills and grammar
Salesforce system experience preferred
Competencies
Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
Benefits
Voted Top Work Places in Orlando 3 years in a row, AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on LinkedIn to find out how our team members are #TransformingLives.
Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications.
Career Growth: We prioritize a “promote from within mentality”. We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization.
Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry.
Paid Time off & Holidays: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, *prorated based on start date, increasing to 140 hours (17.5 days) upon anniversary. Plus 9 paid holidays annually.
Work Hard, Play Hard: Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary.
Full Benefits: Medical, dental, vision, life, & short-term disability insurance, Matching 401(k) with immediate vesting
Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible.
Tell your friends about us! If hired, receive a $750 referral bonus!
Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year!
#TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis.
Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork.
Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy.
AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.
All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.
AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.
Auto-ApplyPatient Access Specialist
Billing representative job in Altamonte Springs, FL
## Data Entry \/ Customer Service Support Representative This role provides data entry and customer service support to assist with overflow needs across multiple teams. The position focuses on accurately creating and updating customer accounts and service cases while delivering responsive support in a fast\-paced, high\-volume environment. (Please see email communication for available shift schedules.)
### Key Responsibilities
\- Perform accurate and timely data entry tasks, including creation of accounts and service cases.
\- Update and maintain account information received from Medical Billers and related internal sources.
\- Provide customer service support to assist with overflow volume from other teams.
\- Ensure data accuracy and completeness across all records and documentation.
\- Communicate professionally with internal teams and external stakeholders as needed.
\- Support special projects and additional assignments as required.
Requirements ### Required Qualifications
\- Strong, accurate data entry skills with exceptional attention to detail.
\- Preferred experience in Specialty Pharmacy or customer service environments.
\- Professional\-level computer proficiency, including:
\- Microsoft Office applications
\- Email and web\-based platforms
\- Keyboarding and general data entry skills
\- Experience working with individuals in high\-pressure, time\-sensitive situations (via telephone or face\-to\-face) that require problem\-solving, decision\-making, sound judgment, and strong customer service capabilities.
\- This experience may be obtained through a combination of professional work and post\-secondary education and does not need to come exclusively from a traditional customer service role.
\- Strong multitasking abilities and effective time management skills.
\- Ability to perform effectively in a high\-volume, fast\-paced environment.
\- Dependable with a strong work ethic.
\- Ability to receive, implement, and respond positively to performance feedback and coaching.
### Preferred Experience
\- Experience working with databases, CRM platforms, or tracking systems (Salesforce CRM preferred).
\- Background in the healthcare or pharmaceutical industry.
\- Understanding of the challenges faced by patients managing medical conditions.
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Billing Specialist
Billing representative job in Sanford, FL
Department
Corporate/Administrative
Employment Type
Full Time
Location
Sanford, FL
Workplace type
Onsite
Reporting To
Kim Bowes
Duties Include: Requirements/Abilities: Compensation & Benefits: About CPH CPH is a multi-disciplined design firm that's growing quickly across the country. Our diverse team of almost 400 individuals are the heartbeat of our company and the reason for our success. The unique contributions that people bring to our firm sets us apart and allows us to bring exceptional service to the communities and clients we serve. At CPH, we offer small company culture with a big company presence. Founded by three visionaries in 1981, CPH has grown over 40 years to serve a long list of public and private clients across a spectrum of markets. Our comprehensive offering of services and broad reach has provided CPH the opportunity to team with clients in Building Stronger Communities Together across the nation and throughout the Caribbean. CPH is a part of the Trilon Group of companies. Its mission is to bring together North America's best infrastructure consulting firms in a collaborative environment with a People-First focus to accelerate their ability to deliver smart and sustainable solutions to clients. Through the partnership with Trilon, CPH professionals have the opportunity to network and share best practices with a host of other professionals across the country. Our future is bright, and we need more talented professionals with an entrepreneurial spirit to grow with us! Could this be you?
Collection Agent
Billing representative job in Lake Mary, FL
Job Description
Mandarich Law Group is one of the country's leading creditor's right law firm with offices in NV, NY, IL, MI, MO, OH, NC, GA and FL, is seeking a full time Collection Agents for our Williamsville, NY office.
START NOW, IMMEDIATE BONUS OPPORTUNITY. TAKE ADVANTAGE WITH REDUCED GOALS IN FIRST FOUR MONTHS!!!!
Multiple shifts available between 8am -6pm, Monday thru Friday. In-Office. 8:00AM to 4:30PM - 9:30AM to 6:00PM
What You'll Do:
• Handle up to 100 inbound calls while contacting consumers and attorney offices to negotiate delinquent and/or charged off accounts on behalf of our clients.
• Calculate acceptable settlement amounts according to guidelines set by our clients and Management team.
• Effectively manage an open queue of accounts to consistently hit your monthly collection goal.
Requirements
Excellent verbal communication skills'
Multitasking and time management skills to work through the account queue and inbound call volume.
Previous customer service work preferred.
Benefits
Rate: $18.00 to $20.00 plus monthly bonus
Competitive Base Salary
Graduated bonus system to allow new employees immediate bonus opportunity and potential to earn significant bonuses
Medical, Dental , and vision; 401K plan with company match
Long and Short Terrm Disability Insurnace
Company paid Life Insurance
DME Biller
Billing representative job in Longwood, FL
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Are you an experienced DME Biller looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you!
Job Description
• M-F 8:30a-5p or 9a-5:30p
• Starting at $13 per hour (negotiable based on experience)
Duties
• Work with physician offices, insurance companies, and patients to ensure all documentation needed to bill is rendered
• Answering phones
• Order Entry
• Verifying insurance( Medicare, Medicaid, Private Insurance)
• Obtaining medical records/documentation/scripts from Physicians groups/hospitals
• Obtaining prior authorizations
• Confirming orders (billing insurance companies)
• Follow up on outstanding A/R from insurance companies and patient balances
• Calling on denials and resubmitting claims
• Posting insurance and patient payments
Qualifications
• At least three years of billing experience (DME billing, specifically respiratory for at least one year)
• Must know how to bill, audit and document respiratory billing, oxygen, CPAPS, etc. (they are 90% respiratory)
• MUST KNOW MEDICARE
• Software experience (Brightree preferred, however similar software will work)
• Knowledge of Microsoft Word and Excel
• Knowledge of HIPAA Guidelines
Additional Information
Interested in being considered?
If you are interested in applying to this position, please apply below.
Collector
Billing representative job in Palatka, FL
Fairway Financial
Collector - Subprime Auto Finance
Full-Time or Part-Time Position Available
About Us:
We're not your average finance company, and this isn't your average collections job. Fairway Financial is a high-growth subprime auto lender looking for a hungry, results-oriented Collector who knows how to get deals done. If you thrive in an environment where performance matters, then we want you on our team.
Job Responsibilities:
Drive daily outbound calls to reach customers with delinquent accounts
Lock in payment arrangements, commitments, and follow-through
Identify skips and use available tools to locate hard-to-find customers
Push accounts forward - escalate to repo or legal when necessary
Document all account activity and customer communication accurately and in real time
Crush daily, weekly, and monthly collection goals
Work closely with recovery and repo agents to manage risk
Follow company standards and comply with all relevant laws (FDCPA, FCRA, etc.)
Qualifications:
Proven experience in collections, call center environment, or subprime lending
Previous automotive lending experience is highly preferred
A no nonsense attitude and the ability to confidently ask customers for payment
Proven negotiation and problem-solving skills
Able to stay calm and professional under pressure
Ability to use multiple computer programs efficiently to log calls and update account data throughout the day
Self-motivated and goal-oriented with a strong work ethic
Ability to maintain confidentiality while handling sensitive borrower information
Company Benefits:
Competitive Pay Plan: Recognizing and rewarding your contributions.
Low-Cost Health Insurance: Starting as low as $74.89 per pay period, including No-Cost Primary Care, Free Teladoc, & Nurse Concierge.
Dental & Vision Insurance: Comprehensive coverage for your well-being.
Scholarship Program: 100% paid college tuition for you, your spouse, or children.
Company-Paid Life Insurance: $25,000 benefit for your peace of mind.
Daycare Assistance: 50% of daycare premium costs.
Work-Life Balance: Closed every Sunday.
Retirement 401(k) Plan: Plan for your future with company support.
Professional Development: Company-provided training to enhance your skills.
Paid Time Off: Paid vacation and six paid holidays.
Employee Discounts: Special pricing on vehicles, parts, and services.
Drug-Free Workplace: Prioritizing safety and well-being.
Terms
We are an equal opportunity employer. All qualified applicants will receive consideration for employment regardless of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Reimbursement Collection Specialist I
Billing representative job in Lake Mary, FL
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Include the following. Other duties may be assigned.
Ensures timely follow-up on all assigned claims to secure timely payment
Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Reduces claims in the over 90-day categories
Collects “Patient Responsibility” from the patient
Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems
Completes timely follow-up as required by department guidelines
Demonstrates successful collection meetings by adhering to all collection guidelines and rules
Mails, faxes or emails all appropriate collections correspondence
Receives incoming calls related to the Billing/Collections Department
Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
Maintains relationships with insurance companies
Generates and prepares patients statements and review them for accuracy prior to mailing
Utilizes the Internet for Insurance claims status
Assists with external audits
Be willing to cross-train and fill-in in other areas within the department
Works in an efficient and cohesive group environment
Supports group and management efforts
Completes daily, weekly and monthly tasks as required by department standards
Qualifications
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE:
High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS:
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers.
MATHEMATICAL SKILLS:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages.
REASONING ABILITY:
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations.
COMPUTER and INTERNET SKILLS:
Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in an environment of open-space cubicles where the noise level is usually quiet.
OTHER SKILLS THAT APPLY:
Diplomacy
Professionalism
Filing
Organizing
Planning
Multi-tasking
Additional Information
All your information will be kept confidential according to EEO guidelines.
Billing Specialist
Billing representative job in Sanford, FL
CPH is a multi-disciplined Engineering and Architectural design firm that ranks in the nation's Top 500 Design Firms by ENR Magazine. Billing Specialist The Billing Specialist play an instrumental role in ensuring the financial health of CPH, by effectively and timely preparing invoices for our clients. They contribute to the company's cash flow by adhering to billable sections of contract agreements and generating and distributing invoices accurately and in a timely manner.
Duties Include:
* Invoicing: Generate and distribute invoices to customers in a timely and accurate manner. Ensure that invoices are complete and compliant with contracts, company policies and relevant regulations.
* Responsibilities will also include the following:
* Support the implementation of invoicing procedures, establishing protocols, setting up billing procedures, and developing invoicing workflows.
* Oversee invoice processing, validation, and distribution.
* Design invoice data categories and manage ERP system data.
* Analyzed delays in approvals process to identify and resolve any issues with approval workflow.
* Manage clients requests and inquires.Uploading and storing invoice records and electronically organizing contracts and supporting materials.
* Monitor and follow up on outstanding invoices to ensure timely processing.
* Prepare and analyze billing reports.
* Verifying tax information.
* Assisting with past due or denied invoices.
* Customer Relations: Collaborate with CPH leadership and PM teams to resolve customer inquiries and disputes, fostering positive relationships with clients.
* Process Improvement: Identify opportunities to streamline and improve the invoicing process, suggesting and implementing changes to enhance efficiency and reduce errors.
* Perform other duties as assigned.
Requirements/Abilities:
* Proficiency in MS Office, and ability to analyze large sets of data.
* Excellent professional verbal and written communication skills and strong negotiation skills.
* Exceptional attention to detail, proactive follow-up, excellent organizational skills, and discretion with confidential information.
* Strong interpersonal, time-management, and problem-solving skills
* Strong sense of urgency, with outstanding prioritization skills and professionalism
* Focuses on objectives and deliverables, execution of tasks, and fast implementation.
* Review documents for clerical errors and modify documents.
Education and Experience:
* Associate's or Bachelor's degree in Accounting or related field.
* 5- 7 years of related experience with invoicing, and familiarity with relevant legal and regulatory requirements. Experience with generating and distributing approximately 150+ invoices within a week is a plus.
* Knowledge of GAAP and basic accounting principles.
* Experience with Deltek Vision is a plus.
* Experience in the following industries in a plus: Construction and / or Engineering.
Compensation & Benefits:
* Dependent upon experience.
* CPH offers Medical, Dental and Vision and Long-Term Disability with a quality insurance company.
* Company Paid Life Insurance and Short-Term Disability.
* 401K, Paid Personal Time Off, Paid Holidays, and Paid Paternal Leave.
CPH is an Equal Opportunity/Affirmative Action/Drug Free Work Environment Employer.
Reimbursement Collection Specialist I
Billing representative job in Lake Mary, FL
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Reduces claims in the over 90-day categories
Collects “Patient Responsibility” from the patient
Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems
Completes timely follow-up as required by department guidelines
Demonstrates successful collection meetings by adhering to all collection guidelines and rules
Mails, faxes or emails all appropriate collections correspondence
Receives incoming calls related to the Billing/Collections Department
Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
Maintains relationships with insurance companies
Generates and prepares patients statements and review them for accuracy prior to mailing
Utilizes the Internet for Insurance claims status
Assists with external audits
Be willing to cross-train and fill-in in other areas within the department
Works in an efficient and cohesive group environment
Supports group and management efforts
Completes daily, weekly and monthly tasks as required by department standards
Qualifications
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers.
MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages.
REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations.
COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet.
OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking
Additional Information
All your information will be kept confidential according to EEO guidelines.