Medical Billing Specialist

4 weeks ago


Miami, Florida, United States North Shore Medical Center Full time

pWe are seeking a skilled bMedical Billing Specialist/b to join our team at North Shore Medical Center. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely submission of Medicaid claims./ppbKey Responsibilities:/b/pulliReview claims for missing modifiers, charges, and/or implants/liliValidate and make corrections on the UB04 resolving all claim edits before claim submission/liliValidate pharmacy quantities are reflected on the claim correctly/liliReview 24 and 72-hour admission report combining claims, as needed/liliSplit inpatient claims as appropriate, per carrier guidelines/liliSubmit claims to carriers with the appropriate remarks and/or attachments/liliRun insurance eligibility and correct claim before submission as needed/liliPull supporting documents for annual regulatory audits, as needed/liliEnsure Medicaid credit balances are reviewed and resolved timely/li/ulpbRequirements:/b/pulliHigh School graduate or equivalent/liliMinimum 2-years Medicaid billing experience in an acute care facility/liliWorking knowledge of Common Procedural Terminology (CPT) and ICD10 Codes/liliWorking knowledge of Federal, State, and Commercial billing guidelines/li/ul



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