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GENERAL SUMMARY OF DUTIES:
Provide timely and efficient billing process, oversee charge entry, verifying CPT & ICD-10 codes, appealing denials/monitoring claims maintenance, and handling collection on past due accounts.
Essential Duties and Responsibilities
  • Research all information needed to complete billing process including getting charge information from physicians
  • Verify/review procedure and diagnosis coding for services performed
  • Review and verify charge information and add appropriate modifiers into EMR
  • Prepare and submit clean claims to various insurance companies, either electronically or by paper
  • Evaluate patient's financial status and establish budget payment plans
  • Perform various collection actions including contacting patients by phone or mail
  • Correct and resubmit insurance claims
  • Review accounts for possible collection assignment and prepare information for collection agency
  • Identifies and resolves errors with coding and billing
  • Answer questions from patients, staff, and insurance companies
  • Maintain patient confidentiality and follow HIPAA guidelines
  • Maintain website and passwords to insurance companies in order to facilitate data collection and research abilities
  • Other duties as assigned
Desired knowledge, skills and/or other abilities
  • Knowledge and ability to identify and review CPT & ICD-10 codes
  • Understanding of billing practices and clinic policies and procedures
  • Knowledge of clinic operating policies
  • Willingness and ability to adapt to changes in billing practices
  • Ability to effectively examine documents for accuracy and completeness
  • Ability to prepare records with attention to detail
  • Strong verbal and written communication skills
  • Team-player mentality and a willingness to provide support for co-workers
  • Self-motivated with the ability to multi-task while working in a fast pace environment
Education
  • High School Diploma or GED
  • Experience
  • Minimum three year of billing experience in a healthcare organization
EOE