You’ll need
Education
✓High School Graduate or GED equivalent Required
Qualifications
✓Knowledge of multiple insurance billing requirements and 3-5 years of billing experience
✓Knowledge of HIPAA confidentiality requirements, maintains strictest confidentiality.
✓Knowledge of Epic, Excel, Word, and clearinghouse software.
✓Knowledge of CPT, HCPCS, ICD-10 coding protocols, Medicaid, third party and Medicare billing and coding.
✓Knowledge of regulatory standards appropriate for position.
✓Ability to understand and apply applicable rules, regulations, policies and procedures.
✓Ability to communicate effectively.
✓Ability to establish and maintain effective working relationships with clinicians and patients.
✓Ability to multi-task, prioritize needs to meet required timelines
✓Analytical and problem-solving skills.
✓Customer Services experience required
Benefits
Medical, dental and vision401(k)Paid time offTuition assistance
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About the role
Submit and follow up on insurance, workers’ compensation, HMO/PPO, and other third-party claims through final resolution
What you’ll do
Review coding, documentation, andReview coding, documentation, and claims in Epic to ensure accurate and compliant billing before submission
Submit and follow upSubmit and follow up on insurance, workers’ compensation, HMO/PPO, and other third-party claims through final resolution
Train and support billingTrain and support billing staff, clinicians, and providers on coding guidelines, payer policies, and billing processes
Monitor charge entry, claimMonitor charge entry, claim submission, payment posting, denials, rejections, and monthly accounts receivable reporting
Assist with provider andAssist with provider and facility credentialing, process development, compliance initiatives, and resolution of patient billing concerns