Position Summary:
The Medical Billing Specialist will provide appropriate coding on the client’s treatment plan and tests. They are responsible for entering and coding patients’ services into a computer system and generating invoices to be sent to insurance companies and clients. Responsibilities also include administrative duties where applicable.
Job Details:
- Work from Home
- Mondays to Fridays | 9 PM to 6 AM (PH Time)
Responsibilities:
- Weekly, the Biller will create the census from Kipu reporting. The Biller will review referrals and authorizations from Kipu and request information as needed from UR. With information obtained from reports the census will be created for each facility. Claims will be updated and entered into CMD and billed that night.
- The Biller will enter new patients from KIPU into CMD. This will include all patient demographics, insurance, diagnosis, admit dates, insured parties, and authorizations.
- Request any missing patient information and update demographics from corresponding departments.
- Follow all regulations and guidelines set by insurance in regard to posting charges.
- The Biller will update new insurances and maintain CMD for all insurance entities.
- The Biller will print paper claims as needed.
- Develop and maintain a tracking system of outgoing claims including reporting. Reports should be updated and sent weekly.
- Follow set billing processes and procedures by insurance and by billing department guidelines.
- The Biller is responsible for resubmitting corrected claims as assigned by management and Collectors.
- Participate in staff meetings as needed
- Maintains and adheres to all policy and procedures respecting confidentiality of client’s rights, anonymity, communication either written or verbal regarding client’s identity and situation
- Maintains documentation and files in an organized manner
- Communicate clearly with other coworkers within their department, Billing Manager, UR Specialist and Admissions Department.
- Work as a positive team member.
- Additional duties may be assigned to employee as needed.
- Maintain strict client confidentiality.
Originally posted on Himalayas