Summary:
Under the general direction of the Practice Manager, the Billing Specialist is responsible for monitoring HOPD departmental billing processes and makes corrections as needed. Manages the timely and accurate posting of physician charge data for both patient and client –billed accounts. Identifies, corrects, and maintains appropriate billing data within the HOPD systems. Resolves insurance claim errors and regulatory edits related to physician billing. Handles customer billing inquires.
Requirements:
Education/Skills
- Highschool diploma or GED.
- Certified Coder preferred
- Computer literacy required, specifically in Microsoft Office.
- Must be proficient with spreadsheets and word processing applications.
- Working knowledge of financial accounting and billing procedures.
- Completion of Medical Terminology and anatomy/physiology courses, medical coding/billing certification, or related experience is required in order to classify procedure codes.
Experience
- Minimum four years extensive CPT and ICD9/10 CM coding experience required.
- Thorough knowledge of applying third party and government payor regulations required.
Licenses, Registrations, or Certifications
- Medical billing certification, preferred
- Medical coding certification, preferred
Work Type:
Full Time
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