Surgery Medical Biller / Collections Specialist

Job Description

Job Description

A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.

DUTIES AND RESPONSIBILITIES

• Performs full cycle billing and collection functions for OHMG Surgical detail-oriented fees.
• Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.
• Performs all data entry and charge posting functions for OHMG services as needed -Performs all third-party follow-up functions for all products and OHMG surgical procedures.
• Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments.
• Work on the Athena Work Dashboard / Claim list on a daily basis for all OIC services assigned.
• Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.
• Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies.
• Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.
• Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10-CM codes for services performed by staff surgeons.Medical Billing, Medical Collections, Medical Denials, Medical Appeals, HMO PPO, Ambulatory Surgery