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Billing Specialist
2 months ago
Job Title: Billing Specialist
Duration: 03-06+ Months + High possibility of extension
Location: Rancho Mirage, CA 92270
Job Description:
- Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
- Reviews assigned charge capture work queue daily including but not limited to:
- Filtering on priority based on high dollar and date of service
- Matching E & M services to procedures
- Validation of Bill area, Service provider and billing provider
- Validation of New verses established patient
- Validation of NDC numbers, proper quantity and administration code
- Updates or validates date of injury as indicated.
- Reviews documentation to ensure charge opportunities have not been missed.
- Enters comment as indicated on each encounter touched.
- Defers any encounter with a comment that requires coder or management review.
- Updates insurance as indicated including running a current verification.
- Maintains productivity standards per departmental policy.
- Maintains encounter turnaround time to at or below three days .
- Identifies and reports any system issues or provider trends affecting the charge capture process.
- Attends coder continuing education and departmental meetings as instructed.
- Enters and reconciles any manual batches as assigned.
- Demonstrates team support by completing training in other positions and assisting as needed.
- Performs other duties as assigned.
Skills:
- 1 to 3 years in a clinic or hospital environment
Preferred:
- 3 to 5 years of medical billing experience with extensive knowledge in Physician and clinical based billing; Licensure/Certification
- Non APC coding certificate
Education:
- Required: High School diploma or GED
- Preferred: Degree or some college
