A well developed Medical Billing & Coding business is looking for a knowledgeable Medical Billing Professional to join their billing group.
Salaries: $15 – 18/ hour
Task Description
Looking for a specific with medical billing and EMR billing software application EXPERIENCE who aims to provide the greatest of client service requirements. This position is accountable for supporting the Account Management group by publishing insurance coverage payments and finishing everyday Description of Advantages (EOB) batches in accordance with recognized billing and collections policies and treatments, submitting all main and secondary claims by electronic and paper techniques, running all basic regular monthly reports, and carrying out follow-up with insurance coverage tracking report as directed.
Certifications
· Preferred 4 years’ experience in a medical workplace repayment department
· Experience with EMR Management software application
· Strong background in Accounts Receivable
· Strong interaction abilities as you will be talking to doctor’s, clients, insurance coverage agents, and/or medical billing personnel on a weekly basis
· Need to keep HIPAA requirements
· Capability to operate in a hectic environment while staying calm and expert
· Strong client service orientation
· Exceptional organizational abilities and should be detailed oriented
· Strong computer system and typing abilities
· Impressive listening abilities
· Favorable, friendly, friendly personality
· Capability to deal with several top priorities
Extra Details
MAJOR DUTIES/RESPONSIBLITIES:
· Post all insurance coverage payments, legal and non-contractual modifications for appointed providers by CPT code and transfer exceptional balance to secondary insurance coverage or client duty per EOB procedure
· Close payment batches daily, fixing up specific provider payments and EOB declarations
· Start procedures to act on declined claims as evidenced by EOBs, per EOB procedure
· Send all proper electronic and paper claims, fix any mistakes on claims and re-transmit; file secondary claims as essential.
· Discuss impressive payment quantities with clients concerning balance owed by the insurance provider and the client
· Post all payments, by line-item, gotten for doctor’s expert services into EMR software application system consisting of co-payments, insurance coverage payments, and client payments in accordance with practice procedure with a focus on precision to guarantee optimal client fulfillment and success. All payment batches should be stabilized in both their dollar worth of payments and changes prior to publishing.
· Evaluation the doctor’s coding at charge entry to guarantee compliance with Medicare standards and to make sure precise and prompt compensation.
· Offer client service on the telephone and in the workplace for all customers and licensed agents relating to client accounts in accordance with practice procedure. Client calls relating to balance dues ought to be returned within 1 company days to guarantee optimal client complete satisfaction.
· Validate all market and insurance coverage details in client registration of the EMR software application system at the time of charge entry to make sure precision, supply feedback to customers and manager to make sure prompt repayment.
· Supply details referring to billing, coding, handled care networks, insurance coverage providers and compensation to doctors, supervisors and subordinates.
· Follow-up on all returned claims, correspondence, rejections, account reconciliations and rebills within 5 working days of invoice to accomplish optimum compensation in a prompt way with a focus on client complete satisfaction.
· Submit main and secondary insurance coverage declares digitally every day and on HCFA to guarantee prompt compensation.
· Process refunds to insurer and clients in accordance with customer procedure.
· Screen compensation from handled care networks and insurance coverage providers to guarantee compensation constant with agreement rates.
· Efficiency with all aspects of the EMR software application system consisting of client registration, charge entry, insurance coverage processing, advanced collections, reports and ledger questions.
· Offer cross protection for Account Supervisors in their lack as needed to make sure effective and expert practice operation.
· Maintain details concerning coding, insurance coverage providers, handled care networks and credentialing in an arranged simple to reference format.
· Maintain an arranged, effective and expert workplace.
· Comply with all practice policies connected to HIPAA and Medicare Compliance
PHYSICAL REQUIREMENTS
· Constant sitting throughout the work shift
· Regular bends, kneels and crouches
· Should have the ability to check out fine print
· Stooping and flexing to files, materials, movement to finish jobs
· Repeated motions of hands, fingers and arms for typing and/or composing throughout work shift
· Regularly raises, brings or otherwise relocations and positions things weighing 10-20 pounds
· Constant usage of the telephone to verbally speak with insurer and/or appointed by senior management
· Capability to reach with hands and arms
· Should have the ability to deal with tension
· Will see computer system screens for extended periods of time.
Mission National Provider.
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