Billing Specialist

7 days ago

Fort Wayne, Indiana, United States Three Rivers Ambulance Authority Full time

Summary:

The Billing Specialist may be required to fulfill key billing aspects including but not limited to: primary and secondary claims per regulations and policies, re-processing of denials of claims, and ensuring billing and coding are accurate and correct.

Essential Duties/Responsibilities:

  • Responsible for the submission or resubmission of primary, secondary, and tertiary claims per respective regulations and policies.
  • Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers.
  • Complete insurance verification.
  • Investigate un-adjudicated claims and complete appropriate follow-up
  • Greet and provide assistance, guidance and direction to visitors and clients.
  • Clearly document issues and resolution.
  • Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims.
  • Maintains confidentiality and adheres to all HIPAA guidelines/regulations.
  • Exhibit exceptional customer service skills; answering patient and insurance calls; prompt return and follow up to all interactions; prompt response to requests for information

Non-Essential Duties/Responsibilities:

  • Collaborate with Finance Director to coordinate yearly LifeCare enrollment
  • Performs other duties as required

Required Competencies and Experience:

  • Strong understanding of physiology, medical terms and anatomy
  • Strong knowledge of medical billing and coding procedures.
  • Associate's degree or higher and/or two years of equivalent experience
  • Minimum of 1 years' experience in any medical billing and coding industry

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift 15 pounds at times.

Working Environment:

  • Standard working hours: Monday to Friday, 8:00 AM – 5:00 PM
  • Based in a professional office setting

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