Platzhalter Bild

Medical Office Billing Clerk-Intermediate bei O9800 - HOPD Mays Cancer Center

O9800 - HOPD Mays Cancer Center · San Antonio, Vereinigte Staaten Von Amerika · Onsite

Jetzt bewerben

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.

 

Jetzt bewerben

Weitere Jobs