Medical Billing Clerk
Priority OnDemand
Medical Billing Clerk
Hot Job
Indianapolis, IN 46227
Overview
Position Type Priority Ambulance Category Billing / Finance
Description
Definition: The Medical Billing Clerk is responsible for the appropriate billing and coding of assigned accounts. Responsible for claim submission, insurance follow-up, denial management, deductible management, timely filing and incoming calls from patients and insurance payors.
Specific Duties: (some duties may vary depending on PreBill or PostBill job position)
- Responsible for coding ambulance, wheelchair or stretcher transports.
- Utilize and assign appropriate ICD10, HCPCS and modifiers for ambulance services to each claim.
- Read and comprehend the content of the patient care report to sufficiently analyze and perform coding to each claim.
- Submit claims for reimbursement to insurance carriers.
- Follow up on unpaid claims and initiate claim status inquiries with insurance payers.
- Work claims and claim denials to ensure maximum reimbursement for services provided.
- Work with patients to develop self-pay arrangements.
- Work timely filing and deductible management queues.
- Meet standard productivity standards.
- Demonstrate knowledge, understanding and compliance of company policies and procedures.
- Demonstrate complete knowledge of proper billing and coding procedures
- Demonstrate knowledge and understanding of (and compliance with) Federal, State and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.
- Work as a team member.
- Complete and maintain appropriate training, certification and licensure for their position.
- Maintain a high level of professionalism and customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public.
- Notify Billing Supervisor of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.
- Maintain security and privacy of all company and patient information at all times in accordance with HIPAA and all other local, state and federal regulations.
- Notifies Billing Supervisor of any questions, concerns or issues regarding billing, collections or compliance matters.
- Perform other duties related to billing/coding and account management as directed or needed.
Qualifications
Minimum Requirements:
- High School Diploma
- Experience with Medical Coding (certification a plus)
- Must have the ability to properly perform job responsibilities as listed
Reports To:
- Billing Manager
Physical Requirements:
- The ability to reach, push and pull.
- The ability to sit or stand for long periods of time.
- The ability to use a computer keyboard and write for extended periods of time.
- The ability to lift and maneuver 35 pounds without difficulty.
- The ability to complete all job duties.
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