What are the responsibilities and job description for the Insurance and Billing Specialist position at Cornerstone Pediatric Therapy Center, LLC?
```Duties```
- Review and analyze medical records and documentation to ensure accurate and timely billing and collections
- Assign appropriate medical codes (ICD-10, ICD-9, DRG) to diagnoses and procedures
- Verify patient insurance coverage and eligibility
- Prepare and submit claims to insurance companies
- Follow up on unpaid or denied claims and resolve billing discrepancies
- Maintain confidentiality of patient information and adhere to HIPAA regulations
- Collaborate with medical office staff to obtain necessary documentation for billing purposes
- Stay updated on changes in medical coding guidelines and regulations
- Answering phones and interacting with families
```Qualifications```
- High school diploma or equivalent; additional certification in medical coding or billing is a plus
- Proven experience working in a medical office or healthcare setting
- Strong knowledge of medical terminology, coding systems, and billing processes
- Proficient in using electronic health record (EHR) systems and medical billing software
- Excellent attention to detail and accuracy in data entry and documentation
- Strong analytical and problem-solving skills
- Ability to work independently as well as part of a team
- Effective communication skills to interact with patients, insurance companies, and healthcare providers
Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, qualifications, or requirements associated with the job.
Job Type: Part-time
Expected hours: 20 – 30 per week
Benefits:
- Flexible schedule
Schedule:
- 8 hour shift
Work setting:
- Clinic
- Office
Ability to Commute:
- Bridgeport, WV 26330 (Required)
Work Location: In person