- Codes for assigned physicians, locations, and/or departments from review of medical record documentation.
- Applies knowledge of current coding and billing requirements to assure claims are submitted correctly.
- Monitors coding and billing worklists and resolves coding related denials.
- Enters patient demographic information and verifies patient insurance coverage.
- Working knowledge of CPT and ICD10 coding
- Minimum 2 years' experience in medical billing
- Excellent attention to detail and follow up
- Knowledgeable of payer rules and requirements for both coding and eligibility checking
- High school diploma or general education degree
- Computer skills required: Efficient data entry skills for both speed and accuracy.
- Problem Solving--Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully;
- Technical Skills--Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
- Interpersonal Skills-- Maintains confidentiality; Listens to others without interrupting; Remains open to others' ideas and tries new things.
- Oral Communication-- Listens and gets clarification; Responds well to questions;
- Written Communication--Writes clearly and informatively; Able to read and interpret written information.
- Organizational Support--Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values;
- Motivation--Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence.
- Planning/Organizing--Prioritizes and plans work activities; Uses time efficiently; Sets goals and objectives.
- Professionalism--Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
- Quality Management--Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
- Quality--Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
- Quantity--Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
- Adaptability--Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- Attendance/Punctuality--Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
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Billing Specialist - Miami, United States - KIDZ MEDICAL SERVICE.
Description
Job Description
Job DescriptionSUMMARY: Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing.
DUTIES AND RESPONSIBILITIES:
QUALIFICATIONS:
COMPETENCIES:
