Wall mount.
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Traverse City, MI
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Irreversible. -
Full-time.
Could This Be For You?
Billing & Claims Specialist will offer a high level of customer care to clients, fellow workers and recommendation sources through carrying out specialized clerical and administrative technical work relating to the permission and billing of customers. Normal obligations consist of, going into, examining and upgrading all billing, codes and account details, evaluation and fixes up reports, guarantee billing for all services offered is precise, print expenses to gather incomes; audit account precision and carry out daily, weekly and month end close activities, while guaranteeing compliance with pertinent laws, consisting of HIPAA requirements, policies and developed Hanger policies and treatments.
Your Impact
Depending on the functional requirements and size of the Hanger Clinic, this position might consist of some or all of the functions or functions noted below.
- Obtain and preserve precise client, billing and insurance coverage details, confirmation and pre-authorization in client files and in the billing system, in compliance with Hanger’s Compliance Policies.
- Review charts for finished list or PCRE.
- Conversion of NextGen encounters after running and clearing all claim modifies.
- Accurately sends paper and electronic daily.
- Acquires and keeps understanding of handbook and electronic billing systems, and requirements for contracted payers.
- Reconciles electronic billing error/submission/rejection report.
- Mails paper declares to providers, and files resubmissions.
- Coordinates interactions with payers to make sure precise billing practices, and boost compensation chances, in accordance with Hanger objectives.
- Report prompt secret data to market and business management for sales, profits, money and client circulation.
- Perform other responsibilities or unique jobs as appointed.
Minimum Qualifications
- Requires 2 years of associated experience, and a high school education or equivalent.
- Associate degree chosen.
- Experience in a medical workplace chosen.
Additional Success Factors
- Interpersonal, oral (consisting of telephone) and composed interaction abilities, consisting of the capability to follow composed and spoken instructions. While performing this position, dealing with a varied population in multicultural settings, there will be interaction (oral and composed) consisting of however not restricted to clinicians, insurance coverage provider agents, other employee (field partners, supervisors, directors) and/or company agents.
- Knowledge of typically accepted accounting concepts; relevant federal, state and regional laws, statues, policies, policies and treatments; health care billing concepts and practices; fundamental mathematical concepts and practices; approaches and strategies receiving/accounting for payments; basic workplace practices and treatments; basic clerical accounting approaches and practices; concepts and practices of arranging and reporting information; computer systems and basic workplace computer system software application; basic filing and record keeping systems.
- Working understanding of ICD-9, ICD-10, HCPC/CPT and other coding.
- Ability to research study, translate and use complicated laws, guidelines, policies and treatments relating to health care billing and collection activities; provide/obtain in-depth details kind others, even in tight spots; collect and assess information; interact successfully; keep expert composure, even throughout tight spots, both orally and in composing; develop and keep reliable working relationships with others; use basic workplace devices, consisting of hardware and software application, to achieve jobs within set due dates; develop and keep treatments, records and files.
- This function needs a person of excellent ethical requirements who carries out careful and succinct work.
- Proficient computer system abilities, consisting of Windows based workplace innovations (ex. Word, Excel, PowerPoint), digital billing systems and report author software application. Excel or equivalent spreadsheet experience needed.
- Act with stability in all methods and at all times, staying truthful, transparent, and considerate in all relationships.
- Keep the client at the center of whatever that you do, constructing long-lasting trust.
- Foster open partnership and positive discussion with everybody around you.
- Continuously innovate brand-new options, affecting and reacting to alter.
- Focus on exceptional results, and adjust work procedures for exceptional outcomes.
Our Investment in You
Employees operating at least 20 hours weekly are qualified for the following advantages:
- Competitive Pay
- Health Insurance
- Dental Insurance
- Vision Insurance
- 8 Paid Holidays annually
- Paid Vacation Time Off
- Paid Sick Time Off
- 8 hours of paid time to volunteer in your neighborhood
- Floating Holiday
- Life Insurance
- Medical Flex Spend Account
- Dependent Care Flex Spend Account
- Free worker help program
- 401( k)
- Full-time staff members are likewise qualified for short-term and long-lasting special needs insurance coverage
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Wall mount.
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Apply Now.
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