IN OFFICE CERTIFIED BILLER/CODER PEDIATRIC FACILITY
Job Description
Job Description
Benefits :We are looking for a candidate with Pediatric Medical Billing experience to become a staff member, for our practice in south central Phoenix.
Duties include, but are not limited to :
- Oversee daily processing and submission of claims from practice management (PM) system to the clearinghouse and third-party payors.
- Our EMR is EClinical Works
- Continuously working the A / R and denials to prevent losses from timely filing and research denials to keep us informed accordingly.
- Proactively monitor for errors and issues and promptly resolve them to ensure payments are processed as not to exceed the timely filing rules.
- Resolve edits related to coding; obtain and review relevant documentation and ensure documentation supports services billed.
- Oversee the insurance correspondences, such Explanation of Benefits (EOB) and Coordination of benefits and researches appropriate claims steps, such as first or second appeal.
- Communicates with insurance carriers to track and check status of appeals.
- Work with insurance payors to ensure timely and accurate payments.
- Troubleshoot patient account issues, including direct resolution of billing issue with patients.
- Ensure accurate patient statements are sent out monthly along with analyzing patients accounts and recommend to collections accordingly.
- Ensure credentialing and privileging is accurately maintained with all payors and facilities, including the re-credentialing cycle.
- Perform other duties as may be assigned.
- This position is a Full time. Punctuality and forward thinking are a must.
Job Type : Full-time / In person
Experience :
- Pediatric : 1 year (Required)
- Medical Billing : 2 year (Required)
- EClinical Works (Preferred but not required)
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