Job Description
RESPONSIBILITIES:
• Post co-payments, patient payments, insurance company payments (paper and electronic), and denials.
• Performs reconciliation of payments.
• Prepares and deposits payments received.
• Uses CPT, ICD, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).
• Assist customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions.
• Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system.
• Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner.
• Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to billing.
• Ensures compliance with regulatory requirements.
• Performs all other duties as assigned, including but not limited to supporting front end office processes.
QUALIFICATIONS:
• 2 years of healthcare billing experience, required.
• Graduate of a medical billing program or Medical Records training and OASIS education, preferred.
• Familiarity with ICD-10, CPT, and HCPCS coding systems
• Understanding of insurance claims processes.
• Working knowledge of HIPAA regulations and patient confidentiality.
• Proficiency in medical billing.
• Strong attention to detail and accuracy in data entry.
• Basic knowledge of medical terminology and anatomy.
• Good organizational and time management skills.
• Strong written and verbal communication skills.
• Post co-payments, patient payments, insurance company payments (paper and electronic), and denials.
• Performs reconciliation of payments.
• Prepares and deposits payments received.
• Uses CPT, ICD, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).
• Assist customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions.
• Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system.
• Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner.
• Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to billing.
• Ensures compliance with regulatory requirements.
• Performs all other duties as assigned, including but not limited to supporting front end office processes.
QUALIFICATIONS:
• 2 years of healthcare billing experience, required.
• Graduate of a medical billing program or Medical Records training and OASIS education, preferred.
• Familiarity with ICD-10, CPT, and HCPCS coding systems
• Understanding of insurance claims processes.
• Working knowledge of HIPAA regulations and patient confidentiality.
• Proficiency in medical billing.
• Strong attention to detail and accuracy in data entry.
• Basic knowledge of medical terminology and anatomy.
• Good organizational and time management skills.
• Strong written and verbal communication skills.
Additional Details
Experience: 2-5 years