MEDICAL CODING AND BILLING SPECIALIST
Department: HR/ACCOUNTING
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Duties and Responsibilities
• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients and Insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews and sends patient statements
• Evaluates patient’s financial status and establishes budget payment plans.
• Follows and reports status of delinquent account
• Makes recommendations for delinquent accounts to be forwarded to collection agencies.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Processes payments from insurance companies
• Translates patient information into alphanumeric and numeric medical codes
• Investigates and corrects rejected and denied claims
• Participates in educational activities and attend weekly, monthly and quarterly staff meetings
• Maintains strict confidentiality and adhere to all HIPAA guidelines and regulations
Other Skills and Requirements
•Experience in billing insurance and posting payments
•Strong computer skills
•Creative problem solving skills with the ability to multi-task and prioritize business requirements in a dynamic, fast paced environment.
•Ability to think and work creatively and effectively in a rapidly changing environment.
•Exceptional customer service orientation with a focus on collaboration and flexibility when working with both external and internal stakeholders.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit; use hands to handle or feel; and reach with hands and arms. The employee is occasionally required to stand or walk with the ability to lift up to 25 pounds at times.
Position Type/Expected Hours of Work
The employee must be available during the “core” work hours of 8:00a.m. to 5:00 p.m., Monday through Friday.
Travel
No travel is required for this position.
Required Language Skills
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Additional Eligibility Qualifications
None required for this position.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
...-art internal training framework used to train our cutting-edge models. We work on distributed model execution as well as the interfaces... ...to help people solve immense global challenges, and we want the upside of AI to be widely shared. Join us in shaping the future...
...Some travel between company locationsJob ShiftVariedJob CategoryHealth CareDescriptionOrtho Rhode Island (ORI) has an exceptional opportunity for a Primary Care Sports Medicine physician to join its world-class team.Formed in 2015, Ortho RI was established...
...advancements in marine geotechnical data collection and interpretation Marine Geologist Position Requirements Bachelor's or Master's degree in Geotechnical Engineering, Geology, or a related field 3-5 years of relevant experience Strong passion for...
...ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Other duties may be assigned. Performs necessary deburring operations on production and non-production parts which includes trimming, deflash and sandblasting. Uses bead blaster and tumbler as required....
Hours are 11pm -730AM Key Areas of Responsibility: Perform line start up. Load/Assemble/Weld parts. Correct machine problems, inspect parts for defects. Maintain equipment Know and adhere to safety procedures. Follow process procedures for Assembly...