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Medical Billing Specialist
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Native Americans for Community Action
Flagstaff, AZ (In Person)
$45,947 Salary, Full-Time
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Job Description
ESSENTIAL DUTIES
- Prepares and submits timely and accurate claims to various insurance companies either electronically or by paper.
- Able to properly verify patient insurance utilizing resources as needed.
- Answers questions from patients, clerical staff, and insurance companies.
- Identifies and resolves patient billing complaints.
- Prepares, reviews, and sends patient statements.
- Evaluates patient's financial status and establishes budget payment plans.
- Follows and reports status of delinquent accounts.
- Continuous monitoring and re-working of denied claims, including reviews of accounts receivable reports, and following up on items of concern.
- Reviews accounts for possible assignments and makes recommendations to the appropriate personnel.
- Prepares information for the collection agency.
- Works closely with the NextGen and EHR systems.
- Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to the third-party payers.
- Processes payments from insurance companies and prepares a daily deposit.
- Maintains strictest confidentiality to comply with HIPAA guidelines/regulations.
- Operates billing software to post patient account payments; send secondary claims.
- Maintain accurate files.
- Input and billing of charges in the practice management billing system.
- Patient insurance verification in practice billing system.
- Perform other duties as assigned.
MINIMUM REQUIREMENT
Associate Degree in Business Administration, health and/or human services, or related field, the American Academy of Professional Coders' credential and/or Certified Professional Coder (CPC); Two (2) years medical billing experience; or equivalent combination of education and experience sufficient to successfully perform the essential duties. Valid driver's license. BLS and HIPAA Certification. Level I fingerprint clearance card and must pass a criminal background check.KNOWLEDGE, SKILLS, AND ABILITIES
Knowledge of medical billing/collection practices. Knowledge of medical terminology, ICD-10, DSM-4 diagnosis, CPT and HCPCS Codes. Knowledge of computer programs specifically NextGen and EHR billing. Knowledge of claim filing guidelines with Medicaid, Medicare, and third-party payers.- Knowledge of basic medical coding, third-party operating procedures, and practices.
- Must complete and submit an NACA, Inc.