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Medical Biller/Coder

Eingestellt von Enclipse Corp.

Gesuchte Skills: Cms

Projektbeschreibung

MEDICAL BILLER/CODER NEEDED IN ROCKVILLE - WE WANT TO TALK TO YOU!

As a global business and technology consulting services leader, Enclipse focuses on delivering tangible solutions.

By employing a team committed to questioning and challenging the status quo, Enclipse has established a culture that encourages independent thought, innovation, and flexibility.

If you join Enclipse, you can expand your technology platform while working for the Nation's most dynamic Health Care Leader.

WE PROVIDE:

Class A Benefits that Start ASAP

The Personal Touch -- You deserve it, We deliver it!

CONTRACT TERMS: W2

BB33641

1 YEAR

CANDIDATE MUST HAVE MEDICAL BILLING OR CODING CERTIFICATIONS

Position: PFS Billing Specialist

Accountabilities:
Analyzes, investigates and resolves account issues, including resubmitting and updating lien and claim document information.
Accesses available resources, such as the Membership System, Resolute, Diamond payer databases to locate missing or incorrect information. Updates medical claims with corrected billing information and releases claims for transmission to the payer.
Investigates and documents actions taken to resolve medical billing discrepancies and unusual charges and credits.
Performs follow-up collection activity/negotiation of lien settlement via pre-assigned work queues to expedite payments.
Works high priority TPL/MVA/WC cases according to department policies and procedures.
Conducts research to make the determination of related (NON-Plan Services) paid claims for subrogation cases, which includes identification and validation of Third Party Liability/MVA/WC claims cost avoidance opportunities.
Receives and responses to incoming correspondence and calls pertaining to TPL/MVA/WC verification, billing and collections inquires from various sources.
Evaluates case status based on established criteria, and takes appropriate action to maintain productive and proactive communication with the third party. 
Ensure that all appropriate patient service charges are entered into the billing system.
Provides feedback and education to Financial Coders regarding coding and billing edits.
Performs other duties as directed.

Minimum Requirement - Relevant Years of Experience:
4-6 years of medical billing/coding/collection experience to include knowledge of CPT, ICD-9, HCPCS codes is required.
Education - Prefers AA or BS degree however, will look at candidates who have HS Diploma or GED Equivalent.
Experience with Third Party Liability/Attorney collections.
Experience with/knowledge of Worker's Compensation and Third-Party Liability/MVA billing and collection; procedures and regulations.
Knowledge of compliance medical and insurance terminology
Familiarity with CMS 1500 and UB 92
Knowledge of Microsoft Word, Excel, and Access is preferred.
Experience with/knowledge of GroupWise, Resolute, Diamond, and TPL Module is preferred.
Minimum Requirement - License, Certification and/or Designation: Medical Coding or Billing. Medical Terminology

Daily Task:
Review medical charts, Calls to validate information, insurance or attornies and collection calls.

Skills for success:
Proficient with MS Office Suite, Good communication skills, Good customer services. Someone who is able to work in a confidential environment.

Projektdetails

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

  • Kategorie:

    Webentwicklung

  • Skills:

    cms

Enclipse Corp.