Offices of Physicians (except Mental Health Specialists)
Job Type:
Part Time
Job Shift:
First Shift (Day)
Job Location:
St. Croix, St. Croix
Minimum Education:
Some College
Career Level:
Experienced
(Non-Manager)
Minimum Experience:
Fresh
Salary Range:
. 10 to 16/Per Hour
Job Description:
One of the Fastest growing doctors' office is looking for a fulltime or part time Certified Coding and Billing Specialist to support the organization by analyzing the accuracy of medical coding for services performed by company providers and preparing claims for process and reimbursement by third party payers.
Essential Functions: • Serves as an auditor to ensure all codes submitted by providers are accurate. • Ensures that coding meets CMS, NCCI, LMRP, NCD, DSHS, and other third party insurance coding/billing guidelines. • Prepares outbound claims through the practice management system. Verifies accuracy of the claims before submittal and posts charges for non-automated processes. • Serves as a resource to non-certified coding and billing team members. May audit claims for non-certified team members to ensure consistant accuracy in submissions. • Monitors claim submission reports and re-bills rejected claims in a timely manner. • Reconciles charges against the schedule/appointment list to ensure that no charges are missed or entered late. • Responds to inquires from staff and providers in a professional and caring manner. • Supports individual and team development by attending all training and staff meetings. • Performs other duties as assigned by the Revenue Cycle Manager and /or Director of Finance. Reasonable Accommodations Statement: To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
Qualifications: Competency Statement(s) • Customer Oriented - Ability to take care of the customers’ needs while following company procedures. • Accuracy - Ability to perform work accurately and thoroughly. • Initiative - Ability to make decisions or take actions to solve a problem or reach a goal. • Organized - Possessing the trait of being organized or following a systematic method of performing a task. • Reliability - The trait of being dependable and trustworthy. • Judgment - The ability to formulate a sound decision using the available information. • Friendly - Ability to exhibit a cheerful demeanor toward others. • Communication, Verbal - Ability to communicate effectively with others using spoken words. • Communication, Written - Ability to communicate in writing clearly and concisely. • Adaptability - Ability to adapt to change in the workplace.
Skills Required
Education: • High School Graduate or General Education Degree (GED): Required • Associate's Degree (two year college or technical school) Preferred, Field of Study: Medical Office Administration Experience: None Certifications & Licenses: • Must have and maintain Certified Professional Coder credential Other Requirements: • Ability to operate a computer, fax machine, and multi-line phone • Ability to learn and utilize health management information software • Previous experience with Microsoft applications - Outlook, Excel, Word, etc. •Understanding of insurance eligibility and verification processes and knowledge of billing guidelines preferred.
Company Name: Graham Urological Center LLC
Company Description: a busy doctor\\\'s office is currently looking for an experience certify medical assistant or nursing student to work fulltime or part time. Must have CPR, fluent in Spanish and able to multitask. fax your resume to 719 8764.
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