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Billing Specialist
4 months ago
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.
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