MEDICAL CODING AND BILLING SPECIALIST
Department: HR/ACCOUNTING
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Duties and Responsibilities
• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients and Insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews and sends patient statements
• Evaluates patient’s financial status and establishes budget payment plans.
• Follows and reports status of delinquent account
• Makes recommendations for delinquent accounts to be forwarded to collection agencies.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Processes payments from insurance companies
• Translates patient information into alphanumeric and numeric medical codes
• Investigates and corrects rejected and denied claims
• Participates in educational activities and attend weekly, monthly and quarterly staff meetings
• Maintains strict confidentiality and adhere to all HIPAA guidelines and regulations
Other Skills and Requirements
•Experience in billing insurance and posting payments
•Strong computer skills
•Creative problem solving skills with the ability to multi-task and prioritize business requirements in a dynamic, fast paced environment.
•Ability to think and work creatively and effectively in a rapidly changing environment.
•Exceptional customer service orientation with a focus on collaboration and flexibility when working with both external and internal stakeholders.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit; use hands to handle or feel; and reach with hands and arms. The employee is occasionally required to stand or walk with the ability to lift up to 25 pounds at times.
Position Type/Expected Hours of Work
The employee must be available during the “core” work hours of 8:00a.m. to 5:00 p.m., Monday through Friday.
Travel
No travel is required for this position.
Required Language Skills
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Additional Eligibility Qualifications
None required for this position.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
..., we're donating a meal to Feeding America. As the Social Media Coordinator at BoxLunch, youll be asked to binge-watch shows on Netflix, see the most recent Superhero movie and know all the favorite Disney Pixar characters then post a story on Instagram about it all...
...compatibility with Atlassian Cloud. Experience with user management, including SSO and integration with identity providers (e.g, Okta, Azure AD). Excellent problem-solving and troubleshooting skills. Strong communication and collaboration skills, with the...
...Transform Healthcare: This position allows a hybrid remote work option. Onsite requirements are determined... ...used in the organization. Must be able to consult and contract on training needs, manage large education projects, and apply training industry concepts including...
...part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient... ...opportunity!**Responsibilities**Performs complex and confidential administrative and secretarial support for senior level executive(s) or Vice...
...Maine for over 30 years. The parent company, OHara Corporation, has been in the maritime industry for over 100 years, operating fishing boats around the country. Starting in Boston as Francis J. OHara and Sons. In the 1990s, the fishing industry declined on the...