Inpatient Billing Specialist

5 days ago


Melville, New York, United States Med-Metrix Full time

Job Purpose:

The Inpatient Biller is responsible for ensuring accurate and timely charge capture and claim submission for WCNF EDI.

Duties and Responsibilities:

  • Reviews referrals to guarantee all charges for each date of service have been captured.
  • Completes charge corrections into the billing system based on office documentation.
  • Meets and maintains daily productivity and quality standards established in departmental policies.
  • Adheres to policies and procedures established for the client/team.
  • Verifies and ensures patients' demographics are properly entered in the host system, correcting errors when necessary and verifying proper authorizations.
  • Performs special projects and other duties as needed.
  • Ability to analyze, identify, and resolve issues causing payer payment delays.
  • Acts cooperatively and courteously with patients, visitors, co-workers, management, and clients.
  • Maintains confidentiality at all times.
  • Maintains a professional attitude.
  • Other duties as assigned by the management team.
  • Uses, protects, and discloses patients' protected health information (PHI) in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Requirements:

Qualifications:

  • High school diploma or equivalent required.
  • Previous experience in Hospital/Facility or Physician billing: preferred.
  • Experience with EPIC preferred.
  • Basic knowledge of healthcare claims submissions and processing, including ICD-10, CPT, and HCPC codes, LCD guidelines, rejections, clearinghouse, and 1500 forms.
  • Knowledge of various types of insurance plans, CPT, ICD-10, billing guidelines.
  • Ability to work well individually and in a team environment.
  • Strong communication skills/oral and written.
  • Strong organizational skills, with a strong attention to detail.

Working Conditions:

Physical Demands:

While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment, such as computers, computer peripherals, and telephones; extend arms; kneel; talk, and hear.

Mental Demands:

The employee must be able to follow directions, collaborate with others, and handle stress.

Work Environment:

The noise level in the work environment is usually minimal.

Med-Metrix is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, or any other characteristic protected by federal, state, or local law.



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