Medical Biller
GetixHealth
Phoenix, AZ
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Job Details
Description
Responsibilities:
Description
Responsibilities:
- Accurate and timely billing of UB04 and HCFA1500 forms.
- Understanding CPTs, ICD9 and HCPC codes, modifier coding and the correct usage of modifiers.
- Documenting accurate and appropriate notes on corresponding systems as needed
- Maintains knowledge of payer requirements and practices
- Understands and follows all federal, state, and local payer-billing requirements.
- Ability to access and interpret member eligibility from InstaMed or other eligibility sources
- Ability to review revenue codes to determine correct diagnosis for billing correct Medi-Cal payor.
- Understanding of basic medical terminology.
- Bill claims to third parties accurately and expeditiously via electronic transmission billing system
- Review and correct edited claims according to all applicable standards and compliance guidelines.
- Review claim rejections to determine recurring billing errors and report to management.
- Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
- Identify claim status and take the appropriate steps to solve the problem in an expeditious manner.
- Responsible for meeting goals and quality standards through efficient and accurate work processes.
- Knowledge, understanding, and compliance with all applicable federal, state, and local laws and regulations relating to job duties.
- Knowledge, understanding, and compliance with company policies and procedures.
- Provide feedback to management concerning possible problems or areas of improvement.
- Make recommendations to implement improved processes.
- Perform other duties as assigned by management.
- High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
- Previous Med-Cal billing experience preferred.
- Understanding of health insurance providers, Medicare, Medicaid
- Local and/or state certifications a plus, ex: CPAR, CPAT, etc.
- Ability to type at least 40 words per minute, use 10-key by touch
- Knowledge of word processing and spreadsheet computer programs.
- Excellent interpersonal, written, and oral communication skills.
- Ability to work in a team fostered environment.
- Ability to work in a multi-tasked environment.
- Ability to prioritize and organize work.
- Work at Home/Remote
- Ability to lift and/or move 20 pounds with or without accommodation.
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Seniority level
Entry level -
Employment type
Full-time -
Job function
Health Care Provider -
Industries
Hospitals and Health Care
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