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Home Health Medical Office personnel -Experience using Availity RCM, MMIS | Office Coordinator in 1

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Home Health Medical Office personnel -Experience using Availity RCM, MMIS

Location:
Fayetteville, GA
Description:

Medical Office Certified Biller/Coder- Fayetteville Ga Sanzie Healthcare Services Inc is looking for a Certified Medical Biller/Coder. The Biller/Coder position is responsible for billing, collecting, posting and managing account payments. The ideal candidate will be required to investigate claims issues and staying afloat of account receivables. A strong background in medical billing, with the skills necessary to improve our current billing procedures and collecting on patient accounts . Responsibilities include: Preparing and submitting claims to various insurance companies electronically Resolving unpaid claims identified on aged A/R and various other reports, and also for reviewing and responding to all billing-related correspondence Denial trends are researched and root causes are identified and reported to the Administrator for resolution Company Payroll Answering questions from clients, clerical staff and insurance companies Identifying and resolving insurance/patient billing complaints Preparing, reviewing and sending patient statements Ensuring all documents are submitted for proper billing: insurance verification forms, office notes and encounters/superbills Reporting delinquent accounts to the Administrator & CEO Performing various collection actions including contacting Clients by phone, correcting and resubmitting claims to third party payers Participating in educational seminars and staff meetings Maintaining strictest confidentiality and adhering to all HIPAA guidelines and regulations Such other tasks as the company may require and/or as needs evolve Generating, reviewing and transmitting claims Payment Posting- Mail & ERA's Provide customer service regarding billing & collection issues, process and review account adjustments, resolve client discrepancies and short payments. Follow up on submitted claims to ensure payer acceptance. Review rejected and/or denied claims, make corrections and resubmit clean claim within the required time frame Review EOB's/ ERA's for any missed opportunities Follow up on aged accounts receivables through final resolution Balance bill secondary, tertiary insurance as well as patients Follow up on payment errors, over-payments, low reimbursements, rejections and denials Insurance verification Other duties as assigned based on billing, payment posting, demographic entry, to ensure company goals are met and a team environment is maintained Maintain the confidentiality of the medical information contained in each record. Key Requirements: Ability to research unpaid claims, determine and correct cause, follow up as needed. Ability to appeal/rebill underpaid or denied claims within payer deadlines. Knowledge of CPT, HCPCS and ICD-9 codes; familiarity with regional and national payers (including Medicaid, VA, Medicare HMO and Medi-Cal HMO plans). Should be proficient with MS Office (Word, Excel, Outlook) and have experience working in multiple billing software systems (Availity and MMIS experience a big plus!). Must have a minimum of 3 years of comprehensive medical billing/collections experience with multiple specialties and a well-rounded understanding of the entire Revenue Cycle process. Commitment to excellent customer service a must Excellent written and verbal communication skills Ability to prioritize and manage multiple responsibilities HIPAA Compliant Working Hours/Salary: Part-time; Compensation to be determined upon review of credentials and experience. Hours 11:00 am- 5:00 pm Monday - Friday. Required experience/ education: 3+ years' experience in medical billing, posting charges, insurance verification, payment posting, filing professional claims, ICD-9 & ICD-10 Certification not required, but is a plus Associate Degree or equivalent Proficient in billing software Availity, MMIS and Quickbook Strong analytical skills Experience in medical terminology, accounts receivable, insurance collections and billing Experience with HIPAA standards and compliance programs Knowledge of medical billing/collections practices Knowledge of computer programs Ability to operate a computer, basic office equipment and a multi-line telephone system Knowledge of basic third party operating procedures and practice Knowledge of Medicare/Commercial Payors and Workers Comp Skill in answering a telephone in a pleasant and helpful manner Strong organization, oral/written communication and public relations skills Ability to maintain effective working relationships with patients, employees and the public Job Type: Part time Required education: Associate degree or equivalent Certified Biller/Coder Required experience: Medical Office: 3 years Medical Billing: 3 years EXPERIENCE IN Home Healthcare A PLUS Job Posted by ApplicantPro
Company:
Sanzie Healthcare Services
Posted:
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More About this Listing: Home Health Medical Office personnel -Experience using Availity RCM, MMIS
Home Health Medical Office personnel -Experience using Availity RCM, MMIS is a Clerical Office Coordinator Job at Sanzie Healthcare Services located in Fayetteville GA. Find other listings like Home Health Medical Office personnel -Experience using Availity RCM, MMIS by searching Oodle for Clerical Office Coordinator Jobs.