Billing - San Diego, United States - Synergy Orthopedic Specialists Inc
Description
JOB SUMMARY
Medical Billing Specialist performs various duties for the billing department and physicians including billing, coding, payment posting, accounts receivable, insurance company relations, appeals, and collections.
Must have a thorough knowledge of ICD-10 and CPT coding, be familiar with insurance contracts, fee schedules, capitation, appeals, and billing.
Medical Billing Specialist monitors insurance payments as they correlate to fee schedules to ensure accuracy and follows up with insurance companies to resolve inaccuracies.
The medical Billing Specialist is tactful and candid in the performance of duties so that patient privacy is protected at all times.
Good judgment, prudent leadership, organizational ability, initiative, attention to detail, and the ability to be self-motivated are especially important when working as a Medical Billing Specialist.
REQUIRED EDUCATION
Minimum of High School Diploma or General Education (GED) degree required. Associates Degree, or an equivalent amount of education and training preferred.
EXPERIENCE AND QUALIFICATIONS
At least five years experience as a billing representative in a medical setting. Certification through a Professional Coding program such as AAPC or AHIMA, preferred.
SKILLS
Medical terminology.
Advanced working knowledge of billing operations including charges, coding, payments, adjustments, insurance claims, and appeals.
Advanced and current knowledge of CPT, HCPCS, and ICD-10 coding.
Current knowledge of Fair Collections laws. o Current knowledge of insurance payer coding, capitation, contracting, and reimbursement guidelines.
Ability to identify, initiate, implement and manage billing practices, policies and procedures.
Professional demeanor and recognition of privacy considerations for patients and families.
Ability to exercise initiative, problem-solving, and decision-making.
Demonstrated customer service-oriented attitude and behavior.
1-2 year experience worker's compensation experience highly preferred.
PHYSICAL REQUIREMENTS MAY INCLUDE
Spend approximately 6-7 hours per day sitting at a desk
Entering data on a computer terminal and talking on the telephone
Spend approximately to 1 hour per day of intermittent walking.
Hear and speak clearly by telephone
Meet frequent deadlines and tight schedules Lift - 5 pounds, primarily paper reports, and filing
Frequent preparation of paper insurance claims and appeals for mail submission
Frequent sitting
Frequent keyboarding
Frequent mousing
Carry up to 5 pounds
REQUIRED EDUCATION
Minimum of High School Diploma or General Education (GED) degree required. Associates Degree, or an equivalent amount of education and training preferred.
EXPERIENCE AND QUALIFICATIONS
At least five years experience as a billing representative in a medical setting. Certification through a Professional Coding program such as AAPC or AHIMA, preferred.
SKILLS
Medical terminology.
Advanced working knowledge of billing operations including charges, coding, payments, adjustments, insurance claims, and appeals.
Advanced and current knowledge of CPT, HCPCS, and ICD-10 coding.
Current knowledge of Fair Collections laws. o Current knowledge of insurance payer coding, capitation, contracting, and reimbursement guidelines.
Ability to identify, initiate, implement and manage billing practices, policies and procedures.
Professional demeanor and recognition of privacy considerations for patients and families.
Ability to exercise initiative, problem-solving, and decision-making.
Demonstrated customer service-oriented attitude and behavior.
PHYSICAL REQUIREMENTS MAY INCLUDE
Spend approximately 6-7 hours per day sitting at a desk
Entering data on a computer terminal and talking on the telephone
Spend approximately 1⁄2 to 1 hour per day of intermittent walking.
Hear and speak clearly by telephone
Meet frequent deadlines and tight schedules Lift - 5 pounds, primarily paper reports, and filing
Frequent preparation of paper insurance claims and appeals for mail submission
Frequent sitting
Frequent keyboarding
Frequent mousing
Carry up to 5 pounds
More jobs from Synergy Orthopedic Specialists Inc
-
Medical Assistant/scribe
San Diego, United States - 1 day ago
-
Part-time X Ray Technician
San Diego, United States - 2 weeks ago
-
Surgery Scheduler
San Diego, United States - 4 days ago
-
Office Manager
San Diego, United States - 3 weeks ago
-
Medical Assistant
San Diego, United States - 2 weeks ago
-
Front Desk and Imaging Scheduler
San Diego, United States - 4 days ago