Quest, Inc

  • A/R Coordinator - Medical Billing & Coding Specialist

    Job Locations US-FL-Orlando
    Posted Date 2 hours ago(1/23/2019 10:57 AM)
    Job ID
    2018-1922
    Category
    Accounting/Finance
    Work Schedule
    Monday-Friday, 8:00 am – 5:00 pm
  • Overview

    Quest, Inc., makes a difference in the lives of nearly 1,000 people each day. For over 50 years, Quest has supported Central Floridians with developmental and intellectual disabilities by offering choices and opportunities to live, learn, work and play. Quest offers a wide range of services and support for individuals with developmental and intellectual disabilities. Our company can be a valuable resource by providing a safe place to call home, quality long term care, education, therapy and early intervention services for children, employment for youth and adults and a place for retreat and respite. Quest's mission, through quality and innovation, is to build communities where people with disabilities achieve their goals. Each Quest team member plays an important role in providing the individuals we serve with superior service, care and support.

    Responsibilities

    At Quest, the A/R Coordinator - Medical Billing & Coding Specialist is responsible for all of Quest's insurance and Medicaid compliance for direct-billing services (primarily Quest Kids therapy services). The position is responsible for understanding both the rules and regulations for insurance and Medicaid billing, as well as the procedures and processes employed by operational programs, to ensure that insurance companies and Medicaid are properly billing in compliance with said rules and regulations.  This position is also the application specialist for the billing module of Avatar software.

    • Accurately submit weekly billing claims to commercial insurance and Medicaid.
    • Identify and correct any claim processing (data entry, verification, coding and/or posting) errors.
    • Responsible for payment posting, accounts receivable, working denials and correcting denials and appeals.
    • Work directly and independently with counterparts at insurance companies and Medicaid to understand proper and accurate billing processes, billing codes, authorization codes and legal compliance.
    • Must understand the billing procedures for Medicaid and other commercial insurance plans.
    • Post payments in a timely manner.
    • Ability to manage multiple tasks and prioritize the needs of the company.
    • Close payment batches daily, reconciling individual carrier payments and EOB statements
    • Provide reports, statistics and status to management
    • Identify gaps or improvements in processes, recommend solutions and implement changes
    • Ability to work independently with minimal supervision.
    • Performs various collection activities, including contacting patients by phone, correcting and resubmitting claims to third party payers
    • Manage workload effectively to ensure department is meeting performance standards
    • Accurately completes all associated documentation required for billing purposes
    • Ensures confidentiality of all health information as required by Florida Statutes and HIPAA guidelines ensuring compliance.
    • IDC-10 Coding experience.

    Qualifications

    • Eligible to legally work in the United States
    • Be at least 18 years of age
    • Successfully complete a background check and drug screen
    • Ability to read, write, and speak English
    • Ability to thrive in a team environment
    • Valid Driver's License or State ID
    • Ability to provide proof of educational achievement or required certifications such as a minimum of a high school diploma, GED, college degree, or advanced degree
    • 5+ years of medical office experience
    • Insurance verification experience
    • Strong written and oral communication skills
    • Must be computer savvy
    • Advanced knowledge in Microsoft Office (Word, Excel), required

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