Billing Specialist $16.00

Location:  Corporate.

Job Description:

ROLE AND RESPONSIBILITIES OF THE CARE TEAM

The Medical Specialist is responsible to all relevant billing but not limited to: claim reimbursement requirements involving claim submission, charges, patient refunds, insurance refunds, denials, EOBs, Write Offs, adjustments transactions.

•    Daily posting a variety of patient charges; posting payments received from patients, Medicare, Managed Care Plans, Commercial Insurances, and other health insurance carriers; preparing billing adjustments and/or re-billing; preparing and maintaining daily productivity reports; and preparing, completing, and analyzing batch control reports.
•    Entering on a timely basis all charges, payments, credits, and adjustments.
•    Reviewing patients’ encounter forms to ensure accuracy and completeness prior to performing charge entry transaction; taking the necessary action to correct the encounter form by contacting the provider of services, medical records department, 3rd party insurance carrier, or the patient.
•    Identifying missing codes to meet MRA revalidation requirements based on documentation.
•    Reviewing and completing claim batches, making necessary corrections, assigning batch control numbers and entry dates; computing the number of transactions, total charges, credits, payments, and overall batch totals.
•    Reviewing the daily batch proof listing which shows the previous day’s charge entries; verifying individual productivity, denials, rejections as well as accuracy of data entered.
•    Follow-up on insurances denials or incorrect payment.
•    Follow-up Insurance A/Rs as well as Patient A/R’s.
•    Ensure all HEDIS CPTs and ICD9s codes are entered, documented and submitted to Medicare and Managed Care plans.
•    Perform Appeals and Re-considerations.
•    Generate Monthly Productivity Reports and Reviews them with VP of Operations.

REQUIREMENTS:

•    Certified Professional Coder preferred.
•    5 Years or more in Medical Billing
•    3 Years in Primary Care Billing
•    Understanding of HEDIS and billing requirements for HEDIS
•    Excellent Organizational skills and attention to detail.
•    Excellent Written and Verbal Skills

Qualified candidates should submit/upload their resume information via http://imamedicalgroup.com/ima-job-opportunities/ - mention CFEC.org Job Posting.

Full-Time
Specified
Job Viewed 1657 Times
Qualified candidates should submit/upload their resume information via http://imamedicalgroup.com/ima-job-opportunities/ - mention CFEC.org Job Posting.

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No
Approved
IMA Medical Group
59192
01-11-2019
2019-03-12 01:00:00
Central Florida
Billing Specialist