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Overview
Schedule
Full-time
Career level
Senior-level
Benefits
Career Development
Job Description
Summary of Position:
The Billing Coding Specialist is primarily responsible for the coding/billing, and resolution of denied claims.
Essential Duties:
Duties include, but are not limited to:
Code claims according to coding and billing guidelines.
Bill claims in accordance with payor guidelines.
Investigate payer- rejected claims to determine reason for denial and work to obtain resolution.
Prioritize and work HOLD an MGR HOLD buckets.
Verify patient insurance coverage and eligibility.
Update patient records with accurate insurance information.
Manage accounts receivable and follow up on overdue payments.
Collaborate with other departments, such as medical coding and front office, to ensure accurate and timely processes.
Support the revenue cycle by ensuring clai8ms are dropped within 2 days of current date.
Assist in general administrative tasks as needed.
Review all claims returned for Medical Necessity and correct if able; report findings to Team Lead.
Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety and environmental standards.
Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
Performs other duties as required.
Other Duties as presented by supervisor and/or Directors.
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