Job Information
Bluestone Physician Services Revenue Cycle Specialist (Biller) in Tampa, Florida
Bluestone Physician Services’ unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities. Bluestone recognizes that patients need a customized approach to care that is preventative, proactive and includes all members of the care team. Medical providers, nurses and social workers collaborate with patients’ other healthcare providers and families.
Our Care Model delivers customized care that is preventive, proactive, and includes all members of the care team, patients and their families. Our patients experience 21% less ER visits, 36% less hospitalization and 41% less hospital re-admissions compared to patients with similar conditions and complexities.
Bluestone has locations in Minnesota, Wisconsin, Florida and uses a mobile clinic approach to provide care to patients within Assisted Living, Memory Care, and Group Home Facilities.
At Bluestone, our employees are our most valuable asset. We know our success is only possible through the hard work and dedication of each of our employees.
Bluestone has been named to the Star Tribune's Top Workplace list for the 11th year in a row! Bluestone also achieved Top Workplace USA 2021-2024!
Position Overview :
Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment. This includes but is not limited to: submission of claims, follow-up for all insurance plans, managing denials, resubmissions, and tracking of special exceptions, as well as managing patient balances. This position will primarily be communicating with insurance carriers, customers, and co-workers.
This remote role MUST be located in our markets in Minnesota or Florida.
Responsibilities :
Review and resolve all claims errors before claim is submitted for payment
Review and effectively troubleshoot all known claim denials and rejections, follow up with insurance providers regarding unpaid and rejected claims; resolve issues and re-submit claims
Review and process credit refunds for patient and insurance overpayments
Answer phone inquiries regarding billing, insurance, and claims
Contact patients, patient families, and/or POAs to obtain accurate/updated insurance information
Actively manage and resolve aging claims
Actively work to resolve individual patient balances including contacting patients to set up payment plans, taking credit card payments, and sending electronic communications
Collaborate with field management teams on data analysis and account resolution regarding aging reports
Other duties as assigned
Qualifications :
Education/Certification/Experience
Previous data entry and 10-key experience required
2 years of previous medical billing experience in a provider setting preferred
Knowledge/Skills/Abilities
Knowledge of basic accounting concepts
General understanding of medical insurance products and plans
Knowledge of ICD-9, CPT, HCPCS codes and claim regulatory guidelines
Knowledge of medical terminology
Working knowledge of Medicare, Medicaid, and third party insurance and the rules and regulations that apply
Strong computer skills, including Microsoft Excel and Google Sheets
Comfortable navigating electronic medical records
Skill in completing multiple tasks at once
Skill in identifying and resolving problems
Skill in verbal and written communication
Ability to communicate professionally with supervisors, coworkers, customers, and patients
Ability to work independently as well as a member of a team to meet company goals
Detail oriented and accurate
Demonstrated ability to read, write, speak, and understand the English language
Bluestone Benefits :
Health Insurance
Dental Insurance
Vision Materials Insurance
Company paid Life Insurance
Company paid Short and Long-term Disability
Health Savings Account (with employer contribution)
Flexible Spending Account (FSA)
Retirement plan with 4% matching contributions
Eight paid holidays for office closures plus two floating holidays
Three weeks (15 Days) Paid Time Off (PTO)
Company sponsored laptop and computer accessories
Regular business hours
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