Billing Specialist

2 weeks ago


Buffalo, New York, United States Dent Neurologic Group LLP Full time
Job Title: Billing Specialist

We are seeking a highly skilled Billing Specialist to join our team at Dent Neurologic Institute. As a Billing Specialist, you will play a critical role in ensuring the timely and accurate submission of medical claims to insurance providers.

Key Responsibilities:
  • Initiate and coordinate charge entry to submitting medical claims
  • Input all charges related to assigned physicians/services into eCW, including office and hospital charges within 24 hours
  • Emphasize accuracy to ensure timely reimbursement
  • Knowledge of insurance carriers, managed care plans, referral/precertification procedures, and order of insurances
  • Working knowledge of CPT, ICD-10, HCPCS, modifiers, coding, and documentation guidelines
  • Knowledge of Incident to Billing
  • Detailed-oriented, must read billing notes and accurately suppress errors
  • Creating WC/NF claims in eCW, choosing the correct fee schedule, adding WC/NF info in data, and ensuring the claim is to print HCFA status
  • Properly routing claims, daily HCFA claim submission of primary and secondary payers
  • Working additional scrubs and reports to ensure accuracy, such as EBO Infusion report generated daily of costly drugs to check accuracy on units
  • Daily electronic claims submission through Waystar
  • Daily claims rejected in Waystar must be worked in eCW or forwarded to follow-up after determining what the issue is
  • Waystar administration, which includes adding new providers and managing provider certifications
  • Regular communication with management in effort to produce clean claims, fix edits, and eliminate errors
  • Work pending claims with a negative balance
  • Perform other duties assigned by Billing Manager, Team Lead, Sr. Revenue Cycle Manager, or CFO
  • Answer all phone calls in an effort to assist patients with billing questions
  • Sort mail appropriately
  • Maintain strict confidentiality of patient information
  • Complete clerical duties in a time-efficient manner as set forth by the Team Leader
Requirements:
  • Previous experience working in an outpatient medical practice setting
  • Experience with ICD-10 and CPT coding
  • Medical Terminology
  • Strong general office skills, including typing skills
  • Strong planning, problem-solving, and organizational skills
  • Working knowledge of Microsoft Windows programs, including Excel and Word
  • Working knowledge of general office equipment, including multi-line phone, computer, copier, calculator, and fax machines
  • Effective communication and interpersonal skills
Education:
  • High school diploma with a minimum of 2 years of medical billing experience
  • Associates Degree in Medical Billing and Reimbursement with a minimum of 1 year of medical billing experience
Working Conditions:

Normal working environment, typical of most office settings

Minimal physical effort, requires some lifting of files, usually not in excess of 15 pounds

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions


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