Tiempo completo
Cualquier lugar
Publicado hace 2 días

Atención sanitaria de Caretruly

Nuestra familia realmente se preocupa por usted

Summary:The Billing Specialist irresponsible for calculating and collecting payments for services.

Educación y experiencia laboral: Education generally equivalent to a high school diploma is preferred. One to three years of verifiable work history, including experience in medical billing preferred.

Nature & Scope-Principal Areas of Responsibilities:
(This list of duties and responsibilities is not all-inclusive and may be expanded to include other duties and responsibilities, as management may deem necessary from time to time)

❖Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.

❖Monitor outstanding claims for processing.

❖Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)

❖Ensure that patients and insurance providers are billed quickly and accurately.

❖Update patient data, develop payment plans, and prepares invoices.

❖Call insurance companies regarding any discrepancy in payments if necessary.

❖Identifying and billing secondary or tertiary insurances.

❖Responsible for reviewing, researching, investigating, negotiating, processing and adjusting all claims including denied claims as necessary.

❖Assistant support the billing department with administrative and logistical tasks, to ensure the accomplishment of projects related to billing. For example: Automatization of the weekly billing process, and receivables and payables, etc.

❖Apply knowledge of applicable laws, regulations and compliance requirements to ensure that claims are processed properly (e.g., HIPAA, PPACA/Health Care Reform, state-specific regulations/grievance procedures.

Knowledge/ Special Skills/Abilities Needed:

❖Knowledge ofICD-10 and CPT coding.
❖Strong computer skills with proficiency in software applications, such as Word, Excel, and Electronic Medical Records.
❖Effective oral and written communications and presentation skills are essential, as are interpersonal skills.
❖Ability to make administrative and procedural decisions and judgments on sensitive, confidential issues.
❖Ability to work effectively in a team environment.
❖Ability to gather and analyze statistical data and generate reports and to plan, coordinate and administer complex administrative systems and processes.
❖Ability to work with frequent, established deadlines.
❖Ability to develop, plan, and implement short- and long-range goals.

www.caretrulyhealthcare.com “Our Family TRULY CARING

for Yours” “Nuestra Familia Realmente Cuidando de la Suya”

This document and all attachments may contain confidential information. Use and further disclosure of the information must be consistent with applicable laws, regulations, and agreements. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of this message is strictly prohibited. Imm ediately destroy this message and notify the sender. Opinions, conclusions, and other information in this message that do not relat e to the official business of thisOrganization, and it shall be Understood as neither given nor endorsed by it

Direct:(414) 269-4550 | Fax:(414) 763-6110 3236 W. Loomis Rd. Greenfield, WI 53221 Job Description – Scheduling – 8/2021

Essential Functions: Physical Demands: 80% sitting; 20% walking/standing; on occasion the incumbent may be required to stoop, bend, or reach above the shoulders. The incumbent must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include Close vision, Distance vision and ability to adjust focus.

Work Environment: This position is primarily an office -based position. The incumbent occasionally performs work-

Related travel. May be subject to work as a Personal Care Worker and be exposed to those physical and work environments.

Physical demands described and work environment characteristics described here are representative of those and employee may encounter while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job description is intended for the purpose of position evaluation and salary positioning and is not a contract setting forth the full scope of employment. The agent retains the right to deviate from the description at its discretion, without notice.

The above statements reflect the general details necessary to describe the principal functions of the occupation described, and shall not be construed as a detailed description of all the work requirements that may be inherent in the occupation.

Para solicitar este trabajo envía un correo electrónico con tus detalles a info@caretrulyhealthcare.com

Especialista en facturación

Nuestra familia verdaderamente solidaria
Para ti.

sobre nosotros

Nuestros servicios

Contáctenos

Especialista en facturación

Nuestra familia verdaderamente solidariaPara ti.

sobre nosotros

Nuestros servicios

Contáctenos

Nuestra familia verdaderamente solidaria
Para ti.