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Billing Specialist
2 months ago
Dent Neurologic Institute is committed to excellence in all we do. Our culture is built on 4 key pillars: respect, quality, productivity, and well-being. By remaining dedicated to these values and the overall mission, we are dedicated to making a difference for both patients and colleagues. When you join the Dent team, you can take advantage of a variety of benefits:
- Work-Life Balance (no overnight shifts)
- Medical, Dental & Vision Plans
- Life Insurance
- 401(k) Retirement Plan
- Critical Illness, Accident, & Legal Plans
- Wellness Program
- Learning & Development Opportunities
- Paid Time Off
- Paid Holidays
- Free Onsite Parking at All Locations
Working Schedule: Full-time, Monday - Friday, 8:30 am to 5:00 pm
Location: Amherst
Position Summary: Under direct supervision, is responsible for initiating and coordinating a specific function of Charge Entry to submitting medical claims.
Responsibilities:
- Input all charges related to the assigned physician/service into eCW, including office and hospital charges within 24 hours. Communicate to management if you are behind and not current.
- Emphasis on accuracy to ensure timely reimbursement.
- Knowledge of insurance carriers, managed care plans, referral/precertification procedures and order of insurances.
- Working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines.
- Knowledge of Incident to Billing.
- Detailed oriented, must read billing notes and accurately suppress errors.
- Creating WC/NF claims in eCW. Choosing the correct fee schedule, adding the WC/NF info in data and making sure the claim is to print HCFA status.
- Properly routing claims, daily HCFA claim submission of primary and secondary payers.
- Working additional scrubs and reports to ensure accuracy. ie EBO Infusion report generated daily of costly drugs to check accuracy on units. O:Drive Reports IT, Infusion Appointment - Generated daily to accurately enter modifier 25 on office visit claims w/ same dsy infusion.
- Daily electronic claims submission through Waystar.
- Daily claims rejected in Waystar must be worked in eCW or forwarded to follow-up after determining what the issue is.
- Waystar administration, which includes adding new providers and managing provider certifications
- Regular communication with management in effort to produce clean claims, fix edits and eliminate errors.
- Work pending claims with a negative balance.
- Performs other duties assigned by Billing Manager, Team Lead, Sr. Revenue Cycle Manager or CFO.
- Answer all phone calls in an effort to assist patients with billing questions
- Sort mail appropriately
- Ability to accept responsibility for appropriate conduct within the office setting and with other department associates by interacting calmly, respectfully and in a friendly manner with other representatives of services at Dent
- Maintains strict confidentiality of patient information.
- Completes clerical duties in a time efficient manner as set forth by the Team Leader. Reports errors or problems so that appropriate action may be taken for patient care.
Other Duties
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.
Skills & Experience Necessary:
· Previous experience working in an outpatient medical practice setting
· Experience with ICD-10 and CPT coding
· Medical Terminology
· Strong general office skills, including typing skills
· Strong planning, problem solving and organizational skills
· Working knowledge of Microsoft windows programs including Excel and Word
· Working knowledge of general office equipment including multi-line phone, computer, copier, calculator, and fax machines
· Effective communication and interpersonal skills
Required Education:
· High school diploma with a minimum of 2 years of Medical Billing experience
Preferred Education:
- · Associates Degree in Medical Billing and Reimbursement with a minimum of 1 years of Medical Billing experience
- Previous experience in medical practice setting
- Experience with ICD-10 and CPT coding
- Knowledgeable in collection process
Working Conditions:
· Normal working environment, typical of most office settings
· Minimal physical effort, requires some lifting of files, usually not in excess of 15 pounds.
· Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Skills & Experience Necessary:
- Strong general office skills, including typing skills
- Strong planning, problem solving and organizational skills
- Working knowledge of Microsoft windows programs including Excel and Word
- Working knowledge of general office equipment including multi-line phone, computer, copier, calculator, and fax machines
- Effective communication and interpersonal skills
- Medical Terminology
Compensation:
- Most candidates will start within the first quartile of the pay range
- Rates are commensurate with experience
EEO Statement
Dent Neurologic Institute offers an inclusive work environment built on kindness and respect for all. Dent provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws as the basis for an employment decision. All qualified individuals are encouraged to apply and will receive consideration.
