JOB SUMMARY :
Under the direction of the Supervisor of Professional Billing & Coding, the Billing and Collections Rep receives charge batches for verification and pre-coding.
These batches will be received directly from the clinic or hospital care area via the electronic medical record system. Using IS system reports ensures that all expected charges are received from providers.
Verifies authorization when required for patient visits, and verifies such numbers are present in the billing system. Registers new patients into IS system including demographics, insurance and claim information.
Verifies appropriate use of CPT and ICD-10 codes and modifiers for all charge sessions / encounters. Responsible for daily processing of claim edits for rejected claims processed through electronic claim vendors.
Provides professional customer service to patients by answering billing questions via telephone & written correspondence.
Responsible for pulling medical records to submit with claims appeals and as required by payors. Assists with other related duties as assigned.
SKILLS REQUIRED :
- Excellent verbal communication and active listening. Effective verbal communication is one of the most valuable skills in this role!
- Emotional intelligence
- Ability to solve problems
- Attention to detail
- Technically savvy
MINIMUM QUALIFICATIONS :
High School Diploma, GED, or Equivalent
1 year of experience or certificate of completion from a medical billing course
PREFERRED QUALIFICATIONS :
3 years of experience
The expected hiring range for this position is $21.00 to $28.88
Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector.
The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates.
Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity.
This posting will remain open from the date posted until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.
EOE including disability / vet
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