Looking for an experienced professional biller who has an extensive work experience in Medical Billing, Medical Coding, Medical Transcription, Medical Knowledge, Data Entry, Data Processing, Medical Claims Processing, e-Marketing, Bookkeeping and research.
The Job Description for Medical Billing & Coding Specialist/AR Executive is as follows:
- Eligibility and Coverage verification
- Prior Authorization approval before services rendered
- Create appointments on scheduler while receiving patient calls
- Full patient demographics and charge entry (OF, IH, OH, ER, AL, NH, CC, HO)
- Insurance claims submission (primary, secondary or tertiary)
- Revenue Cycle Management, Accounts receivable analysis, Collections, DAR and FTPR - Denial Management by strong follow up
- Handling patient/insurance/attorney calls
- Appeals on denials via call, written, fax for reprocessing
- Monthly and annual reports preparation
- Custom reports where required
- Credentialing/Enrollment with all Government and commercial payers
- EDI setups/agreements within covered entities
- Consulting/Training with practice staff
- Super Bill Preparation, HIPAA Disclosure Forms, and other forms (where required) MEDICAL CODING
- ICD9 Coding
- ICD10 Coding
- CPT and HCPCS Coding
- Use of Modifiers
- NCCI Edits