
Medical Charge Auditor
1 day ago
Senior Medical Billing Specialist
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- The Senior Medical Billing Specialist role involves handling various tasks on a day-to-day basis.">
- Responsibilities include confirming patient insurance coverage, reviewing coverage details, following up on authorizations, estimating patient liability, and accurately reviewing and posting charges for medical services provided by healthcare providers.">
- Key responsibilities also include analyzing patient encounter documentation to ensure accurate charge capture and code assignment, collaborating with coding professionals to verify code accuracy and resolving discrepancies or coding-related issues, maintaining compliance with billing and coding guidelines, including HIPAA regulations and insurance payer guidelines, and meeting productivity and timeliness targets for charge posting.">
Requirements:
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- Confirming patient insurance coverage and eligibility">
- Reviewing coverage details to ensure a smooth experience for the patient and provider">
- Following up on authorizations obtained">
- Estimating patient liability">
- Accurately reviewing and posting charges for medical services">
- Analyzing patient encounter documentation to ensure accurate charge capture and code assignment">
- Collaborating with coding professionals to verify code accuracy and resolving discrepancies or coding-related issues">
- Maintaining compliance with billing and coding guidelines, including HIPAA regulations and insurance payer guidelines">
- Maintaining high accuracy in charge entry and minimizing errors">
- Meeting productivity and timeliness targets for charge posting">
- Prioritizing workload effectively to ensure timely and accurate charge entry">
- Maintaining accurate records and metrics related to charge posting activities">
- Preparing reports and analysis as needed, highlighting trends, discrepancies, and performance indicators">
Benefits:
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- Opportunity to work in a dynamic and fast-paced environment">
- Chance to develop skills and expertise in medical billing and coding">
- Collaborative team environment">
Others:
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- Professional certification preferred">
- Ability to work independently and as part of a team">
- Strong communication and organizational skills">
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