Billing Specialist

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SUMMARY: In-person Full Time Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing.


DUTIES AND RESPONSIBILITIES:

  • Reviews the patient ‘s medical record for accurate and complete documentation prior to coding.
  • Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission
  • Codes for assigned physicians, locations, and/or departments from review of medical record documentation.
  • Applies knowledge of current coding and billing requirements to assure claims are submitted correctly
  • Brings identified concerns and trends to the manager/team lead for resolution.
  • Reviews coding and billing worklists and resolves claim rejections.
  • Enters patient demographic information and verifies patient insurance coverage


QUALIFICATIONS:

  • Working knowledge of CPT and ICD10 coding
  • Medical coding certification (AAPC or AHIMA) preferred or currently in progress
  • Minimum 2 years’ experience in medical billing and coding
  • Excellent attention to detail and follow up
  • Knowledgeable of payer rules and requirements for both coding and eligibility checking
  • High school diploma or general education degree
  • Computer skills required: Efficient data entry skills for both speed and accuracy

JOB TYPE / WORK SCHEDULE:

  • This is a full-time In-person position,
  • Standard office hours, Monday – Friday
  • Bilingual (Required)

Competitive pay and a full benefits package, including 401(k), health, dental, vision, life, and disability insurance.


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