Billing Specialist
Are you a Patient Experience Focused Billing & Coding Specialist?
Qualifications
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Minimum of two (2) years of medical billing/coding/collection experience – Orthopedic preferred.
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High school diploma or equivalent.
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Advanced knowledge of coding (CPT, HCPS, and ICD-10), billing, insurance guidelines, medical terminology, and the ability to read / comprehend medical dictation and EOBs.
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Knowledge of Health Insurance carriers and the ability to explain benefits and limitations.
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Ability to communicate medical benefits with patients and provide expectations for payment.
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Ability to follow up on claims rejections and denials and resolve.
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Self-motivated individuals with the ability to multi-task and work independently to achieve a high level of accuracy and productivity.
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Exceptional customer service and phone etiquette required.
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Experience with data entry, Microsoft Outlook and Excel required.
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Ability to work with a variety of personnel including physicians, medical assistants, and other office staff to complete necessary tasks, to meet/ exceed goals while maintaining office protocols.
Responsibilities
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Composing routine correspondence letters, retro authorizations, appeals etc.
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Responding to inquiries by phone and email about claims and insurance guidelines
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Identify problem accounts and trends with payors; investigate and correct errors; track and resolve past due claims
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Ability to control escalated patient situations in a controlled environment while ensuring patient satisfaction
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Promote positivity and team building to achieve department goals.
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Will be required to work offsets, refunds and unreconciled balances.
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Committed to successfully completing assignments provided by Supervisor or Revenue Cycle Manager.
