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.
...Pay & Details ~ Multiple Term Options Available ~ Ranging from 1 - 4 years ~ Lease terms will be based upon the model, year, and mileage of the truck. ~ Lease Payments - $649 per week and up ~ Payments will be based on the model, year, and mileage of the truck...
...Art Models Temporary Pool HR EMPLOYMENT/CAREERS This is a pool of applicants for any Art Model temporary positions that may become... ...the curriculum calls forth the requirement of drawing the human figure, with attention to drawing from the live model. Position will...
...Job Title: Building Inspector Department: Community Development Classification: Non-Exempt Reports to: Community Development Director EEO Category: Full-time Pay Grade: $41,652.00 $59,090.72 or $20.03 28.41 per hour SUMMARY The Building Inspector plans...
Do you love pets? Like to be active and outdoors? Want to earn some extra income? Fetch! Pet Care of Loveland is hiring professional pet sitters for dog walking and cat care assignments. We are a locally-owned franchise servicing Loveland, Mason, Blue Ash, Maineville...
...A Low Voltage Technician, or Low Voltage Electrician, wires various types of electronics systems that operate with low voltage. Their duties include installing and connecting various types of wires and cables, explaining to clients how to use the systems and troubleshooting...