Billing Representative, Central Billing Office, Full-Time, Day Shift, FTE 1.0
3 weeks ago
$1,000 SIGN ON BONUS AVAILABLE
Reconciles and posts all payments received, identifies discrepancies and analyzes issues to ensure payments are posted timely.
Responsible for reviewing and maintaining charge description master (CDM), and/or other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor requirements.
Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.
Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate and to minimize misbillings.
Resolves issues that arise from information submitted and revenue cycle issues.
Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.
Performs appointment scheduling, obtains prior authorizations and schedules hospital procedures/tests.
Minimum Education
High school diploma or equivalent
* Years of relevant experience may be substituted for required education.
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Required Skills
Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC).
Minimum Work Experience
1 year clerical experience (Preferred)
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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