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Billing Specialist

4 months ago

Miami, United States KIDZ MEDICAL SERVICE. Full time
Job DescriptionJob Description

SUMMARY: Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing.



DUTIES AND RESPONSIBILITIES:

  • Codes for assigned physicians, locations, and/or departments from review of medical record documentation.
  • Applies knowledge of current coding and billing requirements to assure claims are submitted correctly.
  • Monitors coding and billing worklists and resolves coding related denials.
  • Enters patient demographic information and verifies patient insurance coverage.


QUALIFICATIONS:

  • Working knowledge of CPT and ICD10 coding
  • Minimum 2 years’ experience in medical billing
  • Excellent attention to detail and follow up
  • Knowledgeable of payer rules and requirements for both coding and eligibility checking
  • High school diploma or general education degree
  • Computer skills required: Efficient data entry skills for both speed and accuracy.


COMPETENCIES:

  • Problem Solving--Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully;
  • Technical Skills--Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
  • Interpersonal Skills-- Maintains confidentiality; Listens to others without interrupting; Remains open to others' ideas and tries new things.
  • Oral Communication-- Listens and gets clarification; Responds well to questions;
  • Written Communication--Writes clearly and informatively; Able to read and interpret written information.
  • Organizational Support--Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values;
  • Motivation--Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence.
  • Planning/Organizing--Prioritizes and plans work activities; Uses time efficiently; Sets goals and objectives.
  • Professionalism--Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Quality Management--Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Quality--Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
  • Quantity--Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
  • Adaptability--Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
  • Attendance/Punctuality--Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.