For this New York, United States-based position, the expected salary is $17.11 - $25.14 per hour.
Definition:
The Medical Billing Clerk is responsible for the appropriate billing and coding of assigned accounts. Responsible for claim submission, insurance follow-up, denial management, deductible management, timely filing and incoming calls from patients and insurance payors.
Minimum Requirements:
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Good data entry(typing) skills.
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Possess excellent written, grammar and communication skills.
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Strong attention to detail.
Benefits:
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Competitive pay
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Health, Vision, Dental & Life Insurance
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401K
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Paid Time Off
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Paid Holidays
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Flexible schedule
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Casual work dress code
Specific Duties: (some duties may vary depending on PreBill or PostBill job position)
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Responsible for coding ambulance, wheelchair or stretcher transports.
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Utilize and assign appropriate ICD10, HCPCS and modifiers for ambulance services to each claim.
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Read and comprehend the content of the patient care report to sufficiently analyze and perform coding to each claim.
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Submit claims for reimbursement to insurance carriers.
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Follow up on unpaid claims and initiate claim status inquiries with insurance payers.
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Work claims and claim denials to ensure maximum reimbursement for services provided.
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Work with patients to develop self-pay arrangements.
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Work timely filing and deductible management queues.
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Meet standard productivity standards.
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Demonstrate knowledge, understanding and compliance of company policies and procedures.
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Demonstrate complete knowledge of proper billing and coding procedures
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Demonstrate knowledge and understanding of (and compliance with) Federal, State and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.
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Work as a team member.
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Complete and maintain appropriate training, certification and licensure for their position.
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Maintain a high level of professionalism and customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public.
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Notify Billing Supervisor of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.
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Maintain security and privacy of all company and patient information at all times in accordance with HIPAA and all other local, state and federal regulations.
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Notifies Billing Supervisor of any questions, concerns or issues regarding billing, collections or compliance matters.
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Perform other duties related to billing/coding and account management as directed or needed.
Capabilities:
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Bi-lingual skills & abilities are a plus *
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Detail-oriented and organized.
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Empathetic and patient focused.
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Ability to multitask and manage time effectively.
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Adaptable and a quick learner.
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Strong work ethic and commitment to meeting targets.
Minimum Requirements:
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High school diploma or equivalent.
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Prior experience in a healthcare AR follow-up role or call center environment.
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Proficiency in using call center software, medical billing software, and Microsoft Office Suite.
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Strong communication and negotiation skills.
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Knowledge of medical terminology and insurance billing.
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Exceptional problem-solving and customer service skills.
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Ability to work in a fast-paced and goal-oriented environment.