First State Women's Care in Newark, DE
- Industry: Healthcare - Allied Health - Medical Biller/Coder
- Type: Full Time
- Compensation: $190,020.00 - 190,020.00 / Year*
Role and Responsibilities:
The Billing Specialist, a key position in the Revenue Cycle, manages charge capture including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. The incumbent will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely in order to maximize revenues. Other important duties include reporting, ability to complete tasks accurately despite interruptions and competing demands. Be respectful and friendly with dynamic problem solving and customer service talents.
Assure coding is compliant and up to date
Coordinate the process of patient eligibility through various third party sources.
Identifies and resolves patient billing problems
Handles patient inquiries and answers questions from clerical staff and insurance companies
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Provide data and support to as needed
Provide accurate compliance reporting
Previous medical billing experience including knowledge of billing related reporting; 3 - 5 years
experience in health-care billing & collection practices
Experience working with medical payers including Medicare, Medicaid, and commercial insurance
Working knowledge of medical billing systems
Experience with Medicaid s State Eligibility System
Working knowledge of CPT and ICD-10 coding systems; Coding certification preferred
An Associate Degree from an accredited university with credentials in billing / coding preferred
Excellent organizational skills
Proficiency in Microsoft Office Suite
Knowledge of medical billing / collection practices required
Strong keyboard skills.
Works well in environment with firm deadlines; results oriented.
Perform multiple tasks effectively.
Able to work both independently and as part of a team.
Strong analytical skills required.
Capable of making timely, independent decisions
Associated topics: account, accounts receivable, bill, clinical documentation specialist, collection, data, medical billing, number, receivable, review
* Estimated salary
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