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Medical Billing Specialist

Company: Lags Spine and Sportcare Medical Centers Inc
Location: Ventura
Posted on: December 27, 2019

Job Description:

Description: Looking for a well-rounded Medical Billing Specialist. Ideal candidate has minimum 2 years strong hands on application of ICD-10, CPT, and HCPCS coding systems and E&M Auditing and Chart Auditing, as well as Medical Office Management background. Candidate must have the ability to work toward creating and maintaining good relationships with physicians, supervisors, co-workers, insurance carriers and patients. Additionally, ideal candidate will foster working as a team; dealing with and resolving conflict in a timely, efficient and positive manner and is willing to mentor and train non-billing staff about insurance and billing workflows pertinent to their particular job functions (i.e. front office, collections, eligibility, benefits and authorizations teams, etc). Productivity: 1) Ensures billing of services meet standards set by medical corporation 2) Uses good judgment when auditing, preparing and billing charges to other entities for payment 3) Completion of daily, weekly and added special projects Quality Management: 1) Constantly alert for ways to improve customer service, improve patient flow, increase productivity, and improve utilization of resources communicating ideas to supervisor 2) Maintains infrequency of denials in the billing process 3) Ensures that electronic and hard copy claims are accurate and completed on time. 4) Verifies and ensures competency when utilizing EMR and Billing systems 5) Uses mathematical accuracy and attention to detail 6) Audits of invalid/rejected edits for accuracy in the electronic claims submission 7) Ensures provider correction requests are responded back to billing timely 8) Notifies supervisor of unusual occurrences and adheres to policy regarding incident forms and/or patient complaints 9) Attends and actively participates in staff meetings as requested 10) Attends and actively participates in staff trainings, webinars and seminars as requested Reliability: 1) Positively supports requests from administrative office and supervisor in implementing policy and new programs 2) Dependable and punctual Customer Service: 1) Sets the example of exemplary patient and insurance customer service 2) Responds to patient or insurance representative calls in a professional manner 3) Reviews the terms of service performed, sliding fees, third party payments and payment collection with patient via telephone 4) Ensures cleanliness of work environment during operational hours and is always prepared to provide friendly assistance to patients, insurance and staff members Lags Medical Centers offers a comprehensive benefit package that includes medical, dental, vision, 401k, PTO and much more! . Requirements: 1) Knowledge and strong hands on application of ICD-10, CPT and HCPCS coding systems 2) Knowledge and strong hands on application of chart review and documentation auditing 3) Knowledge of health insurance programs, coverage offered and third-party reimbursement mechanisms, including Medicare, Medi-Cal, PPO, HMO, IPA, PMG, Military and Veteran, Workers Compensation and their billing guidelines and processes 4) Knowledge of electronic medical record systems 5) Knowledge of manual and electronic billing systems and procedures 6) Knowledge of eligibility, benefits and authorizations processes 7) Knowledge of general office procedures to create efficient and positive work environment 8) Knowledge of all health care services offered by each clinic site 9) Skill in communicating effectively to peers, supervisors and patients and to handle stressful situations appropriately 10) Skill in operating personal computer utilizing word processing, spreadsheets, databases, email and other office equipment 11) Maintains accurate and timely billing 12) Audits insurance information for appropriateness in current billing system and is able to quickly identify underpayments or other trends that may negatively affect cash flows 13) Ability to prioritize work and able to work with little or no supervision 14) Ability to communicate both verbally and written effectively and efficiently 15) Ability to maintain confidentiality of information, most importantly patient financial and medical information 16) Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form 17) Follows timely filing guidelines per payer to ensure maximum payment 18) Ability to understand and respond appropriately, effectively, sensitively to special population groups as defined by race, ethnicity, language, age, sex, etc. 19) Ability to hear and speak well enough to converse over telephone 20) Ability to see well enough to use computer efficiently and read computer reports and correspondence 21) Strong Excel, Word and Power Point skills 22) Willingness to learn, understand and abide by company policies and procedures PI116478309

Keywords: Lags Spine and Sportcare Medical Centers Inc, Ventura , Medical Billing Specialist, Other , Ventura, California

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