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Medical Billing Clerk

Priority OnDemand

Indianapolis, IN
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.
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.
Apply
Vacancy posted 4 days ago
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