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Billing Specialist

4 months ago

Houston, United States Premier Medical Resources Full time
Job DescriptionJob Description

**$2,000 sign on bonus**

Premier Medical Resources is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.

Premier Medical Resources is seeking a full-time Billing Specialist for our growing team. This position will focus on analyzing patient's records and determine/assign the correct codes for the patient's records; in addition, to billing the insurance provider, patient, and/or third-party.

**This position would be eligible for Hybrid schedule upon successful completion of 90-days of employment**

ESSENTIAL FUNCTIONS:

-Reviews medical record documentation to identify pertinent diagnoses and/or procedures that require coding
-Reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges
-Effectively utilizes ICD 10, CPT, HPCPS, modifiers and/or other codes according to coding guidelines
-Communicates effectively with provider and/or all appropriate parties regarding missing information such as CPT,
diagnoses codes, documents, operative reports, etc. in order to ensure proper coding
-Creates claims and transfer to third-party payers utilizing the correct forms. IE) HCFAs, UB04's
-Compiles files consisting of HCFA 1500 forms or UB04's, medical documents, and/or authorizations for various
attorneys or requesting payer as needed
-Increases revenue by collecting payments on outstanding accounts
-Conducts audits and coding reviews to ensure all documentation is accurate and precise
-Manage the status of accounts and identify inconsistencies
-Perform Authorization on new patients Maintain Appeal/denials

KNOWLEDGE, SKILLS, AND ABILITIES:

-Knowledge with in and out of network insurances, Workers Compensation, insurance verification, patient
responsibility, and process for prior authorization
-Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately
-Familiarity with ICD-10 and CPT codes and procedures
-Proficient in medical coding guidelines and regulations
-Working knowledge of medical jargon and anatomy

EDUCATION AND EXPERIENCE:

-High School Diploma or GED
-Three (3) years of experience with medical claims coding/billing and medical insurance industry

BENEFITS:

  • 3 Medical Plans
  • 2 Dental Plans
  • 1 Vision Plan
  • Employee Assistance Program
  • Short and Long-Term Disability Insurance
  • Basic and Voluntary Life with AD&D Plan
  • 401 (k) with a 2-year vesting
  • PTO + Holidays

Please visit our website for more information:

www.pmr-healthcare.com

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.



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