Overview
Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements.
The Billing Specialist has the primary responsibility of processing paperwork necessary for the company to bill and collect fees for equipment and services provided.
This paperwork may include prescriptions, letters of medical necessity, CMN’s, invoices, EOB’s, remittance, checks, vouchers, and electronic versions of the same documents.
The paperwork may involve contact with patients, referral sources, hospitals, doctors, nurses, insurance companies, state and federal agencies, and third-party intermediaries.
- Billing specifically VA and Hospice.
- Denials - involved in the processing of denials.
- CMN management - The major responsibilities include timely submission of CMNs, follow-up tracking, staying current with coverage criteria changes, and responding to queries from referral sources and staff.
- Collections - collect all monies due in a timely manner.
- Quality Assurance - audit and confirm work orders and supporting documentation into the billing system in a timely manner, to ensure maximum reimbursement for services rendered.
Position Qualifications
- High school diploma or GED equivalent and one year of billing experience required.
- Familiarity with medical billing and coding with NCICS certification strongly preferred.
- High organizational skills with ability to meet deadlines.
- Must be detail oriented.
- Strong keyboarding skills required.
- Proficient computer skills. Must be able to master complex software processes.
- Medical Accounts Receivable experience and / or accounting education preferred.
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