Job Description:

Russell Tobin + Associates is seeking a Billing and Coding Specialist to join our client's Billing and Collections Team. This is an excellent opportunity to join a dynamic organization within the healthcare industry. Apply Today!Job Title: Billing and Coding SpecialistPay: $22.00-$24.50hour (based upon experience)Duration: 6-months with possibility of extensionSchedule: Monday - Friday 8am-4:30pmLocation: Hybrid - Tampa, FLThe Billing and Coding Specialist is responsible for performing medical billing functions and providing administrative support to the Billing and Collections department by managing the preparation of invoices and complete reconciliation of billing with accounts receivables. It may also include quality assurance and audit of billing activities. ESSENTIAL FUNCTIONS:Maintains current working knowledge of CPT and ICD 10 codes, required modifiers and encounter data.Performs electronic claims submission.Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.Ensures the timely submission of primary and secondary claims.Notifies management of issues arising from erroneous codes, missing information, and erroredit messages.Analyze relevant information to determine potential reasons for billing discrepancies and changes.Seek assistance from internal partners (e.g., Coding; Credentialing; Clinics; Contracting) andor external stakeholders (e.g., individual customerspayers; brokers) to resolve billing issues.Reviews insurance claim forms for accuracy and completeness and makes necessary corrections.Demonstrates and applies knowledge of Medicare and Medicaid guidelines in reviewing claims to ensure appropriate use of modifiers and CPTICD 10 codes.Review medical documentation to confirm appropriateness of codes when necessary.Corrects claims appearing on Edit municates system and claim formatting issues to the IT department and Billing Manager.Serves as a resource to staff on general billing guidelines.Perform quality checks on data entries prior to submitting information to internal andor external customerspayersform customerspayers of billing problemissue findings and resolution as appropriate.Contact external customerspayers to keep them informed of outstanding balances and required payment, as appropriate.Demonstrate and maintain understanding of state and federal regulatory requirements as they apply to billing operations (e.g., health-care reform; state surcharges; CMS)May conduct training (e.g., on-line demonstration; knowledge base; invoice inquiry) to co-workers (e.g., new staff members, collectioncash posting teams) on how to access, review, andor submit claims for payments. MUST HAVE REQUIREMENTS:1+ year of related job experience.CMC, CPC-A CertificationCPTICD 10 codes experience.Working knowledge of Medicare, Medicaid, and Managed Care.Microsoft Office skillsWorking knowledge of business billing office duties.PREFERRED REQUIREMENTS:CPC CertificationPrevious coding experience.HMOmanaged care, Medicare experience.Previous Allscripts, eCW, Athena, andor RCX system experience.PCP and Hospitalist billing and coding experience.Bilingual preferredEDUCATION:High school diploma, G.E.D. or equivalentSome college education preferred.ABOUT US:Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization.We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies.As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.