Expired: 7 days ago. Applications are no longer accepted.
Required Knowledge, Skills and Abilities:•Must have a comprehensive knowledge of the Billing Process, coding CPT4 and ICD-9; excellent PC skills, working knowledge and experience with computerized billing systems and electronic claims submissions:•Must have experience in detail oriented/physician remittance advice statements for all major insurance payers.•Must have experience in identifying and resolve billing and reimbursement issues.•Prefer experience with mental health billing.•Ability to troubleshoot denied claims from all payers.•Knowledge of medical terminology and medical procedures as related to physician Medicaid and clinical support billing codes;•Knowledge of computerized billing systems and procedures;•Ability to conform to departmental performance standards;•Ability to establish and maintain effective working relationships with superiors, co-workers, subordinates, consumers, and the public;DUTIES AND RESPONSIBILITIESGeneral Statement:Performs detail oriented tasks in the billing/coding process; responsibilities include charge entry, payment posting, accounts receivable, and insurance appeals; works under the direction of the Billing/Claims Supervisor to collect all available reimbursements for services performed; performs related work as required. Statement of Tasks:•Collects and reviews all encounter forms from each program reporting to Supervisor when forms are not received or complete;•Analyze account detail (charges, payments, adjustments) and answer detailed questions from Payers and third party Payers regarding claims or account status.•Assists Supervisor to identify and provide solutions for denials to obtain proper reimbursement of services;•Assists medical providers and employees with direction on the usage of a specific diagnosis code, CPT code, and modifier or documentation requirements;•Assists in compliance with governmental and other third-party payer rules and regulations governing coding and billing;•Assists in implementing Genesee Health System Compliance Plan to ensure correct and appropriate coding and billing;•Performs other assigned accounts receivable duties.
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