Billing Specialist
2 weeks ago
Job Description:
Summary Objective
Billing specialist prepares and submits claims electronically or by paper, answers questions from patients, clerical staff, and insurance companies; identifies and resolves patient billing complaints; evaluates patient financial status and establishes and tracks payment plans; reviews accounts and recommends solutions; processes payments; participates in educational activities and attend monthly staff meetings; maintains strict HIPAA compliance regarding patient privacy.
Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to
perform the essential functions (may include but are not limited to:
· Review provider orthodontic billing of services rendered for orthodontics claim submission.
· Review and respond to billing inquiries submitted by providers and staff.
· Work directly with offices and insurances to resolve specific billing issues.
· Analyze data for errors and report data problems.
· Partner with offices and insurances to correct and resubmit claims based on review of the records, provider input, and payor input.
· Implement and communicate specific orthodontics codes, documentation guidelines, and education for efficient, complete. and consistent clinical data.
· Ensure claims are billed consistently by following CPT and ADA rules and guidelines: escalate issues that may impact this immediately to the Compliance.
· Committee Abide by HIPAA and Coding Compliance standards.
· collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment.
· Accomplish other tasks as assigned.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
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