High School Diploma or equivalent

  • Three (3) years overall coding and billing experience with the following:
  • Three (3) years of experience in medical insurance billing and coding denial resolution
  • Working knowledge in analyzing contract requirements and governmental regulations relating to medical billing
  • Experience with analyzing and implementing effective internal controls
  • Working knowledge of HIPAA regulations and impact on practice operations
  • Must be proficient in Microsoft Office applications
  • Understanding of computer networks, operations, and Practice Management applications including Epic Electronic Health Records System (EHR)
  • Must have excellent and effective communication skills, both oral and written
  • Must be able to work with management and staff at all levels

NOTE: Qualifying education, experience, knowledge, and skills must be documented on your job application

  • Fluent in English
  • Experience with Epic and/or EDI Software
  • Ability to adapt to change
  • Communicates clearly and effectively, both orally and in writing
  • Written and verbal English competency
  • Able to read and follow directions
  • This position requires the ability to regularly bend, carry, climb, climb stairs, grasp, squeeze, hear, use a keyboard and computer monitor, kneel, and perform repetitive tasks
  • Employment may be contingent on passing a drug screen and meeting other standards

Responsibilities

  • The Medical Billing/Coding Specialist is responsible for billing and analyzing procedures and modifiers to troubleshoot and resolve billing issues, rejections, denials, and appeals
  • Works with Medicaid and any other governmental or commercial insurance carriers to resolve claim errors and responds to billing questions from internal and external sources
  • Reviews billing charges and other data for accuracy and potential reimbursement enhancement
  • Remain up to date on billing guidelines
  • Handles sensitive and confidential information appropriately and in compliance with HIPAA regulation
  • Obtains from applicable providers, clinics, and support staff complete diagnosis information to ensure proper assignment of codes
  • Responds to questions from staff, insurance carriers, and clients
  • Run, review, and summarize reports for billing, reimbursement, and accounts receivable
  • Works collaboratively with clinical and health information systems staff as well as with Projects & Business Technology staff regarding billing/coding revisions in the electronic billing system
  • Works as part of a cross-functional team to ensure all services provided are coded and billed in a timely and accurate manner
  • Provide feedback on operational improvements to enhance the efficiency of charge capture to reduce denials and optimize overall reimbursement
  • Develop, implement, and manage processes to reconcile billed charges to scheduled visits
  • Provide applicable data related to Key Performance Indicators (KPI)
  • Must be able to provide quality customer service
  • Ability to analyze and interpret detailed reports and summarize findings
  • Ability to organize and prioritize workloads to manage multiple tasks and meet deadlines
  • Demonstrates respect for the opinions and beliefs of others
  • Demonstrates a sense of responsibility for the success of the group
  • Collaborates with others to improve quality and address needs
  • Organizes and maintains work environment to allow for maximum productivity

نوکری کی تفصیلات

صنعت:
کل عہدے:
5 آسامیاں
نوکری کی شفٹ:
پہلا پہر
نوکری کی قسم:
نوکری کا مقام:
جنس:
کوئی ترجیح نہیں
کم از کم تعلیم:
بیچلرز
کیریئر کی سطح:
تجربہ کار پیشہ ور
کم از کم تجربہ:
4 سال
اس سے پہلے درخواست دیجیۓ:
اکتوبر ۲۰, ۲۰۲۲
تاریخِ اِشاعت:
ستمبر ۲۰, ۲۰۲۲

Forta Tech

بی پی او · 11-50 ملازمین - لاہور

........

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