Billing Operations Specialist

4 weeks ago


Jackson, Mississippi, United States Careline Health Group Full time

Job Summary: We are seeking a skilled Billing Operations Specialist to join our team at Careline Health Group. The successful candidate will be responsible for providing billing practices and services in accordance with billing requirements of related payor sources, agency policy, and accounting firm requirements.

Key Responsibilities:

  • Follow uniform billing procedures and practices according to Medicare, Medicaid, 3rd party payers, and private payor sources.
  • Manage provider and non-provider credentialing with Medicare, Medicaid, and 3rd party payor sources.
  • Ensure compliant and accurate ICD10 and CPT codes are used in EMR and used for billing.
  • Oversee accurate claims for submittal to payor source.
  • Prepare correspondence to staff or payer sources.
  • Act as liaison between company and payor sources for collection.
  • Analyze and perform collection activities for delinquent accounts.

Requirements:

  • 3 year's billing experience.
  • Knowledge of medical terminology.
  • Demonstrate good communication, interpersonal, telephone, and documentation skills.
  • Billing experience in an appropriate clinical care setting or Physician Service environment preferred.
  • Accounting practices or experience preferred.


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