Medical Office Billing Clerk-Intermediate bei O9800 - HOPD Mays Cancer Center
O9800 - HOPD Mays Cancer Center · San Antonio, Vereinigte Staaten Von Amerika · Onsite
- Professional
- Optionales Büro in San Antonio
Under general supervision, responsible for performing any combination of routine verifying and posting of charges for Department of Medicine specialties.
Responsibilities
- Uses variety of reports and tools to identify pending charges and performs data entry functions to ensure thorough and accurate data capture.
- Charge capture is performed using data entry tools within Epic (electronic medical record).
- Performs basic review of medical record documentation.
- Closely follows guidelines and protocols established for assigned work.
- Works with diligence and attention to detail.
- Notifies supervisor of any barriers to working efficiently and effectively.
- Reviews claims that have been adjudicated by Medicare, Medicaid, and Commercial carriers for appropriate billing.
- Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
- Extracts information regarding patient treatment from medical records and works closely with coding staff to compose individualized appeal letters.
- Identifies payor specific patterns or trends regarding denials and reports to management for communication to Medical Departments and Administrators.
- Makes the necessary recommendations regarding billing and edit creation to reduce denials.
- Remains current in all payor specific guidelines.
- Utilizes various collection processes such as appeals or collection notices by mail, electronic correspondence, and telephone communication with payor representatives.
Qualifications
- Detail oriented with the ability to organize, prioritize and coordinate work within schedule constraints and handle emergent requirements in a timely manner.
- Ability to adapt to changing requirements based on work demands.
- Ability to effectively communicate orally and in writing.
- Ability to adhere to productivity and quality standards.
- Must provide excellent customer service and be able to work collaboratively with various staff in the immediate team and larger organization.
EXPERIENCE:
- Three (3) years of related experience to include clinical setting is required. Medical/Dental coding experience is preferred.
EDUCATION:
- High school diploma or GED is required.