Billing Specialist

Why Join Us?

SunState Medical Specialists (SMS) is proud to be a part of OneOncology in delivering exceptional, community-based specialty care across Florida. With a team of 105 physicians spanning urology, radiation oncology, medical oncology, breast surgery, general surgery, and head and neck surgery, SMS is committed to providing high-quality, accessible care. Our practice continues to expand services by offering advanced radiation therapies, in-house pharmacy and laboratory capabilities, care management, theranostics, cutting-edge diagnostic imaging, and clinical research. We are dedicated to recruiting top-tier physicians to help increase access to affordable, high-quality care throughout the state.

This role is responsible for collecting payments from various insurance companies. Collections activities include denial research, submission of appeals, and follow up on no-response and partial paid claims. This includes identifying consistent payer related payment delays and communicating patterns to management. This position will be responsible for make sure the corrected claims are sent out in a timely manner. Coordinators will also support registration and insurance changes.

Your Key Responsibilities:

• Prepare and re-submit medical billing claims to insurance carriers either electronically or by hard copy billing

• Secures needed medical documentation required or requested by insurance carriers

• Investigate, analyze, and resolve the reason for denials of payment from insurance carriers

• Process denials of payment from insurance carriers until claims are paid or amounts that are assigned to patient responsibility.

• Keep updated on all insurance carrier billing requirements and changes for insurance types within the area of responsibility

• Monitor claims for prompt payment received from insurance carriers

• Coordinate and work with staff from various departments to accomplish proper actions to prompt payment from the insurance carrier

• Demonstrates knowledge of, and supports, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior

• Perform other responsibilities as required

• Ensure proper documentation is attached to corrected claims, if needed.

• Make sure corrected claims are sent out via electronically or mailed in a timely manner.

• Occasionally assist with Special Corrected Claims projects.

• Update insurance information as necessary.

• Other duties as assigned.

Minimum Qualifications:

• High school or equivalent education

• 1-3 years’ experience in Health Care field

• Advance Knowledge in Microsoft Office products

Preferred Qualifications:

• Experience with Intergy system