Billing Specialist I - Digitech - Remote

Sarnova

2d•Remote

About The Position

The Billing Specialist I will utilize master billing guides and other process instructions to review PCR to ensure medical necessity, reasonableness, level of service, ICD10 coding and mileage is correct. This role is fundamental in Digitech's revenue cycle management process and ensures that claims are coded and billed accurately and timely. The selected Billing Specialist I will maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims.

Requirements

High School Diploma or equivalent
1 – 2 years of Medical billing preferred
Certified Ambulance Coder (CAC) preferred
Demonstrated ability or willingness to attain QMC Biller Certification upon employment
Must be able to type 35 wpm
Basic computer skills including ability to utilize multiple windows and programs simultaneously
Customer service oriented
Attention to detail and focus on quality
Organizational skills
Must display sufficient written and oral communication skills
Must have the ability to work in a fast-paced environment
Must have the ability to work with minimal supervision
Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Nice To Haves

Certified Ambulance Coder (CAC)

Responsibilities

Review patient medical records and supporting documentation
Add required data elements to the account in the billing platform, including ICD-9 codes, charges, and billing narratives
Ensure all tasks are completed in accordance with Quick Med Claims policies as well as state and federal guidelines
Meet or exceed defined productivity standards for the position
Properly notate accounts reviewed
Attach necessary documentation within the system or to paper 1500s
Obtain additional information from clients when needed, such as HIPAA forms, pre-authorizations from insurance companies, and physician medical necessity forms, in order to submit third-party claims
Review billing documents in the billing platform using dates provided on patient care reports, physician medical necessity forms, and hospital face sheets
Review and validate claims electronically or on paper
Monitor tags or workflows to ensure timely validation of claims
Process all insurance claim forms in accordance with federal and state laws as well as departmental procedures
Provide accurate billing in compliance with regulatory requirements and internal policies and procedures
Demonstrate biller competency by achieving and maintaining billing accuracy scores that meet or exceed expectations during quality assurance and audit activities
Adhere to all Digitech HIPAA privacy policies and procedures. This includes always maintaining the confidentiality and security of sensitive patient information
Additional job duties as assigned