Billing Coordinator - Central Billing Office - Sarasota Memorial Health Care System

Job Summary:

Performs pre-billing and billing functions for First Physician Group and sets up master files within practice management software. Reviews charges and verifies appropriate usage of modifiers, CPT-4 and ICD-9 and ICD-10 codes prior to billing to ensure appropriate reimbursement.. Analyzes and corrects claims to ensure accurate and timely claims submission. Responsible for calculating and posting contractual allowances accurately and timely keeping the AR to a minimum. Researches and answers customer’s questions regarding billing disputes. Interacts with FPG Physicians, Office Managers, CBO staff, and other appropriate SMH staff to review coding and billing issues. Responsible for keeping abreast of and complying with all third party regulations. Handles all correspondence and all communications in a timely manner. Job knowledge is section specific. Demonstrates Customer Service Recovery.

Required Qualifications:

- Require an Associate’s Degree. A high school diploma, plus two (2) or more years of relevant billing and coding experience may be substituted for required degree.
- Require knowledge of Managed Care contract language.
- Require the ability to manage special projects and task to completion.
- Require the ability to be cross-trained in two (2) or more specialty areas.
- Require three (3) years of experience working with Medicare, Medicaid and commercial billing and collections.
- Require the ability to type fifty (50) words per minute for CRT and PC input.
- Require the ability to analyze problems develops solutions and consistently follows through to resolution
- Require the ability to meet and greet public and handle difficult situations diplomatically.
- Require a clear and distinct speaking voice.
- Require the ability to operate an adding machine quickly and accurately by touch.
- Require the ability to use standard office equipment.
- Require basic mathematical, organizational, and communication skills.

Preferred Qualifications:

- Prefer three (3) years of experience in utilizing Windows based software applications.
- Prefer excellent knowledge of ICD-9, ICD-10 and CPT coding.

Preferred License and Certs:

CPC: Certified Professional Coder