Billing Specialist

Billing Specialist Three Rivers Ambulance Authority - 3.0 Fort Wayne, IN Job Details Full-time $20 an hour 1 day ago Qualifications Anatomy knowledge Medical coding Medical billing Medical terminology

Full Job Description Summary:

The Billing Specialist may be required to fulfill key billing aspects including but not limited to: primary and secondary claims per regulations and policies, re-processing of denials of claims, and ensuring billing and coding are accurate and correct.

Essential Duties/ Responsibilities:

Greet and provide assistance, guidance and direction to visitors and clients. Responsible for the submission or resubmission of primary, secondary, and tertiary claims per respective regulations and policies. Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers. Complete insurance verification. Investigate un-adjudicated claims and complete appropriate follow-up Clearly document issues and resolution. Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims. Maintains confidentiality and adheres to all HIPAA guidelines/regulations. Exhibit exceptional customer service skills; answering patient and insurance calls; prompt return and follow up to all interactions; prompt response to requests for information.

Non-Essential Duties/Responsibilities:

Collaborate with Finance Director to coordinate yearly LifeCare enrollment Performs other duties as required.

Required Competencies and Experience:

Strong understanding of physiology, medical terms and anatomy Strong knowledge of medical billing and coding procedures. Associate's degree or higher and/or two years of equivalent experience Minimum of 1 years' experience in any medical billing and coding industry

Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer. Must be able to lift 15 pounds at times.

Working Environment:

Standard working hours: Monday to Friday, 8:00 AM - 5:00 PM Based in a professional office setting