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Medical Biller/Coder
1 month ago
The medical billing specialist is responsible for identifying and collecting balances from third-party carriers, submitting charges, following up on charges, gathering and disseminating information relating to billing and reimbursement as well as implementing policies, procedures, and protocols to assist the needs of the organization with billing and reimbursement related issues. Providing training to departmental personnel as needed as well as clinicians as assigned by the director.
General Areas of Responsibility:
- Maintain a designated percentage of collections as defined by the director
- Follow up on team activities including but not limited to outstanding third-party insurance accounts
- Prepare client and staff request forms
- Coordinates and reviews the day-to-day duties/achievements with the unit lead, manager, and director
- Responsible for notifying unit lead, manager, and director of immediate or pending system errors, system problems, insurance plans not paying at the approved rates
- Responsible for managing accounts, verifying eligibility, and converting the visit to the appropriate insurance plans
- Identifies denial trends/patterns and reports to the director
- Ensures all denials are identified and the items are worked to the fullest extent, corrected, and re-submitted in a timely manner
- Write off noncollectable accounts after approval from the director
- Assists in troubleshooting and reporting transmittal problems
- Assists in the training of new employees as instructed by the billing director
- Manages staff corrections and/or re-files denials as appropriate
- Performs other duties as assigned from time to time
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