Medical Billing Specialist
Robert Half Accountemps
Description
A Surgery Center in Encino is in the need of a Medical Billing Specialist. The Medical Billing Specialist must have at least 3 years of experience in the healthcare industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for services rendered.
DUTIES AND RESPONSIBILITIES
-Performs full cycle billing functions for Surgical detail-oriented fees.
-Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.
-Performs all data entry and charge posting functions for services as needed
-Performs all third-party follow-up functions for all products and procedures.
-Reviews EOBS . Make corrections as required and resubmit the claim for payments.
-Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.
-Provides the correct ICD-10 code to identify the provider's narrative diagnosis
-Provides the correct HCPCS code to identify medications and supplies.
-Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.
- Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10 codes for services performed by staff surgeons
Requirements
Medical Billing, Medical Denials, Medical Appeals, Ambulatory Surgery, General surgery, Medical Billing, HMO PPO
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