What are the responsibilities and job description for the Billing Specialist position at Coda Inc?
SUMMARY: The Billing Specialist is responsible for all aspects of insurance and patient billing.
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ESSENTIAL RESPONSIBILITIES AND TASKS:*
- Facilitate timely and accurate pre-bill audit of billing system transactions.
- Prepare and submit error free claims to various insurance companies.
- Contact insurance companies to get authorization for patient services as necessary.
- Identify and resolve patient billing complaints.
- Count cash from PRC, prepare and balance DBR, enter into check log.
- Prepare, review and send patient statements.
- Prepare adjustments and rebills.
- Post and file EOBs as received.
- Respond to patient and colleague questions promptly and efficiently.
- Resolve billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.
- Maintain patient and invoice files by entering and adjusting data.
- Enter data accurately and efficiently into posting, charge input and authorizations.
- Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends.
- Verify that CPT, HCPCS and ICD-9 codes submitted to third-party payers are an accurate representation of the medical services rendered. Research any discrepancies noted prior to charge entry to ensure accuracy.
- Notifying the Billing Manager of any regulatory and compliance issues relating to inaccuracies or aberrant billing patterns discovered during the billing process.
- Achieve outcomes using methods that align with CODA’s mission and values:
- Communicate accurately and positively about recovery and the use of evidence-based treatments.
- Use data and science to identify barriers, overcome obstacles, and inform decisions.
- Be financially responsible; avoid waste, document accurately, seek new opportunities to serve.
- Demonstrate compassion and respect for others.
REQUIRED EDUCATION, EXPERIENCE AND COMPETENCIES:
- Associate Degree in Accounting or Business OR three (3) years of experience in a related field.
- Two years’ experience in a Medical Office setting.
- Experience with ICD-9, ICD-10 and CPT coding issues.
- Knowledge of MMIS and CIM (State Medicaid Reporting Systems).
- Knowledge of insurance companies and working AR appeals.
- Ability to convey a positive attitude and treat others with respect.
- Ability to take personal responsibility for the quality and timeliness of work, and achieve results with little oversight.
- Ability to diligently attend to details and pursue quality in accomplishing tasks.
- Ability to utilize both oral and written communications skills to effectively communicate with patients, co-workers, community resources, supervisors, and various other individuals encountered in the course of performing work while maintaining patient confidentiality and establishing professional rapport.
- Ability to operate a computer, utilize basic MS Office programs, and effectively navigate and maintain patient records in an electronic medical records system.
REQUIRED CERTIFICATIONS AND LICENSES:
- None.
Job Type: Full-time
Pay: $21.45 - $27.00 per hour
Salary : $21 - $27
Medical Coding and Billing Specialist
Orchid Health -
Gresham, OR
