Medical Legal Billing Specialist

Jun 13, 2024 at 05:00 pm by Alex


CLICK HERE TO APPLY THROUGH INDEED

 

Seeking a qualified and responsible Auto-Legal Insurance and Billing Specialist for our growing practice. This is not a remote position.

About Us: An Outpatient Medical Clinic that practices exemplary service and holds true to small-practice values.

Our Outpatient Medical Clinic is looking for a Auto-Legal Insurance and Billing Specialist. The Legal Billing Specialist will communicate regularly with auto carriers, attorneys, and patients to ensure payment is received in a timely manner.

*Please note: To be considered for this position you must be willing to work on site at our Winter Park Business Office.*

Education/Training

  • High school graduate or equivalent.
  • Must complete Phone Interview, Face to Face Interview, and Working Interview.

Experience

  • One (1) year of experience in PIP, customer service, and/or health care.
  • An Associate’s Degree may substitute for 2 years of the required experience.
  • Computer experience required.

What we are looking for:

_ Hard-working team players: Loyal, competitive team players who can work towards a team goal while being results-driven consultant who can create their own track record of success.

_ Persuasive influencers: People who understand the market and can use their relationship skills and depth of knowledge to secure buy-in and loyalty to referral sources.

_ Mission-driven: People who can buy-in on our mission statement and do whatever it takes to share that with our patients, team, and providers who choose us.

_ Adaptable communicators: Representatives that can overcome change with growth, adapt without losing sight of our goal, and give insight on new opportunities both internally and externally.

Essential Functions

· Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal department and organizational results.

· Strikes a balance between maintaining trustful relationships and ensuring timely payments. Exhibits professionalism and trustworthiness.

· Verifies Auto insurance claim eligibility and obtains benefit information.

· Captures and confirms attorney representation for patient and accident date in question.

· Requests contact information for attorney if new relationship and records in software.

· Accurately notates the account with status of Personal Injury claim and attorney representation.

· Works with other departments when additional information is required.

· Calls patients when / if problems with verifying claim coverage or attorney coverage.

· Follow up on pending verification requests in a timely manner.

· Answer calls from patients, providers, attorneys and insurance companies when requested.

· Produces accurate and timely client billing by collaborating with attorneys and legal assistants.

· Maintains accurate, clear, concise, and complete account information in Billing systems. Ensures all billing issues, including deductions, accounts receivable and client concerns are monitored and resolved timely and provide submission and problem-solving assistance where needed.

· Ensures proper approval authority is obtained for adjustments based on company guidelines.

· Prepares and distributes PIP Packets for PIP Demand filing and lawsuits.

· Works closely with Billing Manager to ensure PIP spreadsheets are current and reflective of accurate case status.

· Ensures follow-ups made to attorneys and requests status of cases to ensure settlements due to company.

· Closely adheres to set schedules and handle time standards.

· Reports recurring problems.

· Handles calls and correspondence in relation to patient accounts. This may include correspondence to or from personal representatives and attorneys to bring about prompt account resolution.

· Maintains confidentiality of all patient demographic, medical, and financial information. Maintains confidentiality of all client information. Ensure proper handling and disposal of confidential documents and adherence to all HIPAA rules and regulations.

· Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as policies and procedures in all aspects of job performance.

· Promotes the company as a premier service organization by treating patients, attorneys, and providers, with compassion and respect and ensuring that service expectations are met.

Other Related Functions

  • Attends departmental meetings/in-services and participates in process improvement initiatives.
  • Assume the responsibility for professional growth and development.

Job Type: Full-time
Hours of Operation: 8:00AM – 5:00PM, Monday through Friday (with potential to work Saturdays)
Locations: Central Florida area

Job Type: Full-time

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday
  • Weekends as needed

Education:

  • Associate (Preferred)

Experience:

  • Legal: 1 year (Preferred)
  • Medical billing: 2 years (Preferred)
  • Credentialing: 2 years (Preferred)

Work Location: In person