Billing Specialist

Responsible for understanding all aspects of coding, quality assurance and compliance with Federal Payer documentation guidelines Works closely with departmental management and coordinates with Physicians Posting, clean claim submission to clearing house, denials, appeals, follow-up on claims until payment received Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer contract Applies appropriate discounts/courtesies based on department policy Processes daily mail, edits reports, file or pull EOB batches Identifies and informs Manager of issues or problems associated with non-payment of claims Contacts payors or patients as appropriate for corrective action to resolve the issues and receive payment of the claims Requirements High School education or GED equivalent Minimum of 2 years’ experience in physician office performing patient billing and collections required Previous computer skills on Physician Practice Management System and/or windows application with mouse Ability to communicate effectively with patients, physicians, and staff in a courteous manner Medical Terminology including CPT-4 procedure coding ICD-10 diagnostic coding, and HCPCS coding preferred Ability to attend work on a regular basis Ability to adhere to safety rules and other reasonable regulations pertaining to the job Ability to refrain from negativity or excessive irritability Ability to work in cooperation with other workers Core Competencies Demonstrates expertise in patient billing and collections, including proficiency in Medical Terminology, CPT-4, ICD-10, and HCPCS coding. Effectively communicates with patients and healthcare professionals while ensuring compliance with Federal Payer documentation guidelines. Highest-signal resume keywords Patient Billing and Collections CPT-4 Procedure Coding ICD-10 Diagnostic Coding HCPCS Coding Physician Practice Management System ATS Optimization Keywords Hard Skills Patient Billing Claims Submission A/R Follow-Up Clean Claim Production Denial Management Appeals Process Medical Terminology CPT-4 Coding ICD-10 Coding HCPCS Coding Soft Skills Effective Communication Team Cooperation Courteous Interaction Problem Identification Regular Attendance Industry Keywords Federal Payer Compliance Billing Procedures EOB Processing Claim Follow-Up Payer Contracts Tools & Technologies A/R Follow-Up Systems Physician Practice Management System Windows Applications #J-18808-Ljbffr Jobtailor