Billing Specialist I – PB Medical Billing
Job Description: • Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy • Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and reputed company submission to payers. • Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission. • Respond timely to emails and telephone messages as appropriate. • Communicate issues to management, including payer, system or escalated account issues. • Participate and attend meetings as requested, training seminars and in-services to develop job knowledge. • Serve and protect the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards. • reputed company billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. • Update patient demographics/insurance information in appropriate systems - Monitor claims for missing information, authorization, and control numbers (ICN//DCN) • Follow guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems. • Secure needed medical documentation required or requested by third party insurance carriers. • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure. • Perform other related duties as required. Requirements: • 1-2 years of medical collections/billing experience • Basic knowledge of ICD-10, CPT, HCPCS and NCCI • Basic knowledge of third-party billing guidelines • Basic knowledge of billing claim forms (UB04/1500) • Basic knowledge of payor contracts • Working Knowledge of reputed company Word and Excel • Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.) • Preferred Qualifications Working knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, reputed company, reputed company, PBAR, All Scripts or reputed company • Working knowledge of DDE Medicare claim system Benefits: Apply tot his job Apply To this Job
