Billing Specialist
New
Remote/Nationwide, USA, Monday - Friday, 8:30am - 5:00pm in your respective time zoneFull-TimeMiddle
Salary25 - 30 USD per hour
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Job Details
- Experience
- 1-3 years of experience in medical billing
- Required Skills
- AccountingData entryBookkeepingHIPAA
Requirements
- High school diploma or GED.
- 1-3 years of experience in medical billing.
- Understanding of HIPAA regulations.
- Basic math, bookkeeping, and accounting skills.
- Proficient in the use of a computer and other devices.
- Ability to multi-task and frequently change direction.
- Ability to work independently and within a multidisciplinary team.
- Provide high level of professionalism, responsiveness, and communication.
Responsibilities
- Perform pre-bill review to ensure that authorization is documented where necessary.
- Ensure that coding on claims follows payer guidance.
- Ensure accurate billed and expected charges do not exceed usual and customary or contractual pricing.
- Create and submit primary and secondary pharmacy and medical claims promptly.
- Review and identify claims pricing discrepancies based on updates/changes to fee schedules.
- Communicate any billing-related issues to all appropriate departments.
- Ensure coding to the highest level of specificity and for maximum reimbursement.
- Maintain current knowledge of departmental and organizational policies.
- Support billing staff in training and ongoing education.
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