Billing Specialist - Houston, United States - OI Infusion

OI Infusion

Verified Company

Houston, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Position:
Billing Specialist

Department:
Revenue Cycle Management

Objective
The billing specialist will ensure that claims go out in a timely and accurate manner.

They will use their billing and coding knowledge to confirm clean claims are being accepted by the clearinghouse and payor and work on any rejections or corrected claims as needed.

The billing specialist must have a solid grasp on progressional billing in order to identify billing errors and proactively communicate and fix set-up or billing issues that prevent clean claims from going out the door.

Reporting Relationship
RCM Supervisor & RCM Manager

Scope of Supervision
N/A

Responsibilities

Bill assigned sites daily within 48 hours of treatment
Review claims prior to submission to confirm coding and billing guidelines are met
Monitor and track all claims to ensure successful transmission.
Review and correct claims returned or rejected by the clearinghouse.
Manage billing and exception queues including the billing discrepancy report, pending rebills/corrections, and no claim on file report
Perform month end tasks and reporting such as updating the monthend tracker
Document any billing errors and corrections done and report necessary claims on the issues detail tracker
Communicate any system setup issues and assist in finding and implementing the resolution
Stay informed of new billing guidelines and coding updates.
Research billing requirements of new drugs.
Perform other duties as assigned by supervisor.

Minimum Qualifications

Knowledge of CPT, HCPCS, and ICD10 coding
Expertise in health insurance billing rules and regulations
Understanding payor requirements
Previous medical billing and claims collection experience
Ability to evaluate options and to make efficient decisions
Strong written and verbal communication
Infusion background a plus
Exhibit overall behavior and actions that demonstrate willingness to learn, be coached, and take accountability for selfimprovement and growth; be a collaborative team player