Billing and Collections Specialist
4 weeks ago
Job Summary:
The Billing and Collections Representative I - PFS - RCSSD is a critical role that requires attention to detail, technical savvy, and excellent communication skills. Under the direction of the Supervisor of Professional Billing & Coding, the successful candidate will receive charge batches for verification and pre-coding, ensuring that all expected charges are received from providers.
Key Responsibilities:
- Verify authorization for patient visits and ensure that numbers are present in the billing system.
- Register new patients into the IS system, including demographics, insurance, and claim information.
- Verify the use of CPT and ICD-10 codes and modifiers for all charge sessions/encounters.
- Process daily claim edits for rejected claims processed through electronic claim vendors.
- Provide professional customer service to patients by answering billing questions via telephone and written correspondence.
- Pull medical records to submit with claims appeals and as required by payors.
Requirements:
- High School Diploma, GED, or Equivalent.
- 1 year of experience or certificate of completion from a medical billing course.
- Preferred qualifications include 3 years of experience.
Benefits:
- Medical, dental, vision, life insurance, and pet insurance.
- A Retirement plan with company matching.
- A Wellness program.
- Tuition Assistance.
- Employee Recognition Awards & Team Rady (an annual event honoring all employees).
- Discounts on events and attractions around San Diego.
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